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1689451965 NPI number — EXTENDED HOME CARE SERVICES

NPI Number: 1689451965
Health Care Provider/Practitioner: EXTENDED HOME CARE SERVICES

Information about “1689451965” NPI (EXTENDED HOME CARE SERVICES) exists in 1689451965 in HTML format HTML  |  1689451965 in plain Text format TXT  |  1689451965 in PDF (Portable Document Format) PDF  |  1689451965 in an XML format XML  formats.

NPI Number : 1689451965 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689451965",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EXTENDED HOME CARE 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": "460 FRANKLIN ST UNIT 117",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FRAMINGHAM",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "01702-6296",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "345-284-4185",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "460 FRANKLIN ST UNIT 117",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FRAMINGHAM",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "01702-6296",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "345-284-4185",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/11/2023",
    "LastUpdateDate": "09/11/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NAKATE",
    "AuthorizedOfficialFirstName": "SYLIVIA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "346-284-4185",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "374U00000X",
        "TaxonomyName": "Home Health Aide",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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