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1710831656 NPI number — REVERENCE HEALTH, LLC

NPI Number: 1710831656
Health Care Provider/Practitioner: REVERENCE HEALTH, LLC

Information about “1710831656” NPI (REVERENCE HEALTH, LLC) exists in 1710831656 in HTML format HTML  |  1710831656 in plain Text format TXT  |  1710831656 in PDF (Portable Document Format) PDF  |  1710831656 in an XML format XML  formats.

NPI Number : 1710831656 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710831656",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "REVERENCE HEALTH, 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": "36 APPLE LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MILFORD",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45150-1696",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "36 APPLE LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILFORD",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45150-1696",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "513-796-7941",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/26/2026",
    "LastUpdateDate": "02/26/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HARRIS",
    "AuthorizedOfficialFirstName": "DURHAM",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "D.MIN., HEC-C",
    "AuthorizedOfficialTelephoneNumber": "678-989-7516",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251E00000X",
        "TaxonomyName": "Home Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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