NPI Code Detail JSON Logo

1679429161 NPI number — GIDEON HEALTH & WELLNESS SERVICES

NPI Number: 1679429161
Health Care Provider/Practitioner: GIDEON HEALTH & WELLNESS SERVICES

Information about “1679429161” NPI (GIDEON HEALTH & WELLNESS SERVICES) exists in 1679429161 in HTML format HTML  |  1679429161 in plain Text format TXT  |  1679429161 in PDF (Portable Document Format) PDF  |  1679429161 in an XML format XML  formats.

NPI Number : 1679429161 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679429161",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GIDEON HEALTH & WELLNESS SERVICES",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3006 LASSITER RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOLLY SPRINGS",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27540-3374",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3006 LASSITER RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOLLY SPRINGS",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27540-3374",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "919-247-2649",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/06/2026",
    "LastUpdateDate": "03/06/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "COBB",
    "AuthorizedOfficialFirstName": "KRISTINA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "919-247-2649",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "385H00000X",
          "TaxonomyName": "Respite Care",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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