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1730693540 NPI number — SUNSHINE HOMES 3

NPI Number: 1730693540
Health Care Provider/Practitioner: SUNSHINE HOMES 3

Information about “1730693540” NPI (SUNSHINE HOMES 3) exists in 1730693540 in HTML format HTML  |  1730693540 in plain Text format TXT  |  1730693540 in PDF (Portable Document Format) PDF  |  1730693540 in an XML format XML  formats.

NPI Number : 1730693540 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730693540",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SUNSHINE HOMES 3",
    "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": "28180 DANVERS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FARMINGTON HILLS",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48334-4248",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-229-2028",
    "MailingAddressFaxNumber": "248-538-6882",
    "FirstLinePracticeLocationAddress": "18910 HUNTINGTON AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HARPER WOODS",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48225-2045",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "313-372-8869",
    "PracticeLocationAddressFaxNumber": "248-538-6882",
    "EnumerationDate": "12/01/2017",
    "LastUpdateDate": "12/01/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JACKSON",
    "AuthorizedOfficialFirstName": "DIANE",
    "AuthorizedOfficialMiddleName": "YVETTE",
    "AuthorizedOfficialTitle": "CO-OWNER",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "248-229-2028",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251E00000X",
        "TaxonomyName": "Home Health Agency",
        "LicenseNumber": "AS820369343",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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