NPI Code Detail JSON Logo

1720748429 NPI number — UNITED METHODIST CHILDREN'S HOME OF THE NORTH GEORGIA CONFERENCE, INC.

NPI Number: 1720748429
Health Care Provider/Practitioner: UNITED METHODIST CHILDREN'S HOME OF THE NORTH GEORGIA CONFERENCE, INC.

Information about “1720748429” NPI (UNITED METHODIST CHILDREN'S HOME OF THE NORTH GEORGIA CONFERENCE, INC.) exists in 1720748429 in HTML format HTML  |  1720748429 in plain Text format TXT  |  1720748429 in PDF (Portable Document Format) PDF  |  1720748429 in an XML format XML  formats.

NPI Number : 1720748429 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720748429",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "UNITED METHODIST CHILDREN'S HOME OF THE NORTH GEORGIA CONFERENCE, INC.",
    "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": "1967 LAKESIDE PKWY STE 400",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TUCKER",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30084-5867",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-327-5820",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1967 LAKESIDE PKWY STE 400",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TUCKER",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30084-5867",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-327-5820",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/21/2021",
    "LastUpdateDate": "12/21/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MEYER",
    "AuthorizedOfficialFirstName": "MARY",
    "AuthorizedOfficialMiddleName": "EILEEN",
    "AuthorizedOfficialTitle": "DIRECTOR OF PERFORMANCE & QUALITY",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "404-327-5820",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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