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1710709936 NPI number — THE WOODLANDS AT AMBER PARK LLC

NPI Number: 1710709936
Health Care Provider/Practitioner: THE WOODLANDS AT AMBER PARK LLC

Information about “1710709936” NPI (THE WOODLANDS AT AMBER PARK LLC) exists in 1710709936 in HTML format HTML  |  1710709936 in plain Text format TXT  |  1710709936 in PDF (Portable Document Format) PDF  |  1710709936 in an XML format XML  formats.

NPI Number : 1710709936 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710709936",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THE WOODLANDS AT AMBER PARK 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": "2418 FRYER PT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FT LAUDERDALE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33305-2723",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "239-272-2373",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "401 HILL RD N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PICKERINGTON",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43147-1511",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "614-834-3113",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/29/2024",
    "LastUpdateDate": "10/29/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VAN DER VELDE",
    "AuthorizedOfficialFirstName": "CORNELIUS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MEMBER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": "JR.",
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "502-536-3468",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "310400000X",
        "TaxonomyName": "Assisted Living Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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