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1710002761 NPI number — SUNSHINECHILDRENSHOMEINC

NPI Number: 1710002761
Health Care Provider/Practitioner: SUNSHINECHILDRENSHOMEINC

Information about “1710002761” NPI (SUNSHINECHILDRENSHOMEINC) exists in 1710002761 in HTML format HTML  |  1710002761 in plain Text format TXT  |  1710002761 in PDF (Portable Document Format) PDF  |  1710002761 in an XML format XML  formats.

NPI Number : 1710002761 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710002761",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SUNSHINECHILDRENSHOMEINC",
    "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": "9215 COUNTY LANE 175",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CARTHAGE",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "64836-8812",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "417-358-5722",
    "MailingAddressFaxNumber": "417-359-9676",
    "FirstLinePracticeLocationAddress": "9215 COUNTY LANE 175",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CARTHAGE",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "64836-8812",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "417-358-5722",
    "PracticeLocationAddressFaxNumber": "417-359-9676",
    "EnumerationDate": "03/20/2007",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "YORK",
    "AuthorizedOfficialFirstName": "BILL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "417-358-5722",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "320900000X",
          "TaxonomyName": "Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility",
          "LicenseNumber": "0792471",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "320900000X",
          "TaxonomyName": "Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility",
          "LicenseNumber": "1327-9830",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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