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1700536307 NPI number — MRSC CO ASPEN HOUSE MASTER TENANT, LLC

NPI Number: 1700536307
Health Care Provider/Practitioner: MRSC CO ASPEN HOUSE MASTER TENANT, LLC

Information about “1700536307” NPI (MRSC CO ASPEN HOUSE MASTER TENANT, LLC) exists in 1700536307 in HTML format HTML  |  1700536307 in plain Text format TXT  |  1700536307 in PDF (Portable Document Format) PDF  |  1700536307 in an XML format XML  formats.

NPI Number : 1700536307 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700536307",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MRSC CO ASPEN HOUSE MASTER TENANT, LLC",
    "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": "3452 E FOOTHILL BLVD STE 720",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PASADENA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91107-6031",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "626-796-8700",
    "MailingAddressFaxNumber": "626-568-1416",
    "FirstLinePracticeLocationAddress": "2212 E 11TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOVELAND",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80537-3231",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "970-635-9800",
    "PracticeLocationAddressFaxNumber": "970-667-2362",
    "EnumerationDate": "03/25/2022",
    "LastUpdateDate": "03/25/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LANGENDOEN",
    "AuthorizedOfficialFirstName": "GARY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGER/COO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "310-283-2731",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "314000000X",
        "TaxonomyName": "Skilled Nursing Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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