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1710987342 NPI number — SENIOR HEALTH - ALAMO, LLC

NPI Number: 1710987342
Health Care Provider/Practitioner: SENIOR HEALTH - ALAMO, LLC

Information about “1710987342” NPI (SENIOR HEALTH - ALAMO, LLC) exists in 1710987342 in HTML format HTML  |  1710987342 in plain Text format TXT  |  1710987342 in PDF (Portable Document Format) PDF  |  1710987342 in an XML format XML  formats.

NPI Number : 1710987342 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710987342",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SENIOR HEALTH - ALAMO, LLC",
    "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": "8223 BROADWAY ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN ANTONIO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78209-1919",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-828-0606",
    "MailingAddressFaxNumber": "210-826-7766",
    "FirstLinePracticeLocationAddress": "8223 BROADWAY ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN ANTONIO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78209-1919",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "210-828-0606",
    "PracticeLocationAddressFaxNumber": "210-826-7766",
    "EnumerationDate": "07/26/2005",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BARONET",
    "AuthorizedOfficialFirstName": "RANDY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "210-828-0606",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "314000000X",
        "TaxonomyName": "Skilled Nursing Facility",
        "LicenseNumber": "108920",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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