NPI Code Detail JSON Logo

1710796107 NPI number — MAPLEWOOD SNF OPERATIONS LLC

NPI Number: 1710796107
Health Care Provider/Practitioner: MAPLEWOOD SNF OPERATIONS LLC

Information about “1710796107” NPI (MAPLEWOOD SNF OPERATIONS LLC) exists in 1710796107 in HTML format HTML  |  1710796107 in plain Text format TXT  |  1710796107 in PDF (Portable Document Format) PDF  |  1710796107 in an XML format XML  formats.

NPI Number : 1710796107 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710796107",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MAPLEWOOD SNF OPERATIONS 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": "308 W MAPLE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LANCASTER",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40444-1005",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "859-792-6844",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "308 W MAPLE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LANCASTER",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40444-1005",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "859-792-6844",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/31/2024",
    "LastUpdateDate": "12/31/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CARVER",
    "AuthorizedOfficialFirstName": "DILLION",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "REGIONAL DIRECTOR OF OPERATIONS",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "516-530-9510",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "314000000X",
        "TaxonomyName": "Skilled Nursing Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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