NPI Code Detail JSON Logo

1689588600 NPI number — NEXTGEN CARE DYNAMICS LLC

NPI Number: 1689588600
Health Care Provider/Practitioner: NEXTGEN CARE DYNAMICS LLC

Information about “1689588600” NPI (NEXTGEN CARE DYNAMICS LLC) exists in 1689588600 in HTML format HTML  |  1689588600 in plain Text format TXT  |  1689588600 in PDF (Portable Document Format) PDF  |  1689588600 in an XML format XML  formats.

NPI Number : 1689588600 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689588600",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NEXTGEN CARE DYNAMICS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "437 ROSE AVE APT C",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PLEASANTON",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94566-8205",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "925-577-6606",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "437 ROSE AVE APT C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PLEASANTON",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94566-8205",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "925-577-6606",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/29/2026",
    "LastUpdateDate": "09/29/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OLADEJO",
    "AuthorizedOfficialFirstName": "ENIOLA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LVN",
    "AuthorizedOfficialTelephoneNumber": "925-577-6606",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QD1600X",
          "TaxonomyName": "Developmental Disabilities Clinic/Center",
          "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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