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1720164957 NPI number — RED RIVER HOME HEALTH CARE, INC.

NPI Number: 1720164957
Health Care Provider/Practitioner: RED RIVER HOME HEALTH CARE, INC.

Information about “1720164957” NPI (RED RIVER HOME HEALTH CARE, INC.) exists in 1720164957 in HTML format HTML  |  1720164957 in plain Text format TXT  |  1720164957 in PDF (Portable Document Format) PDF  |  1720164957 in an XML format XML  formats.

NPI Number : 1720164957 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720164957",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "RED RIVER HOME HEALTH CARE, INC.",
    "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": "8150 N CENTRAL EXPY STE 1800",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DALLAS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75206-1883",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "469-839-3777",
    "MailingAddressFaxNumber": "469-983-2083",
    "FirstLinePracticeLocationAddress": "1701 OLD MINDEN ROAD",
    "SecondLinePracticeLocationAddress": "SUITE 33B",
    "PracticeLocationAddressCityName": "BOSSIER CITY",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "71111",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "318-752-4662",
    "PracticeLocationAddressFaxNumber": "318-752-4689",
    "EnumerationDate": "10/31/2006",
    "LastUpdateDate": "03/27/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MARTIN",
    "AuthorizedOfficialFirstName": "ANGIE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "LICENSING MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "903-787-7609",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": "899",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": "1174",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": "1196",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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