NPI Code Detail JSON Logo

1740043074 NPI number — DEBORAH CARE LLC

NPI Number: 1740043074
Health Care Provider/Practitioner: DEBORAH CARE LLC

Information about “1740043074” NPI (DEBORAH CARE LLC) exists in 1740043074 in HTML format HTML  |  1740043074 in plain Text format TXT  |  1740043074 in PDF (Portable Document Format) PDF  |  1740043074 in an XML format XML  formats.

NPI Number : 1740043074 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740043074",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DEBORAH CARE 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": "145 E SWEDESFORD RD # 1043",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WAYNE",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19087-1455",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "215-851-2651",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "400 RENAISSANCE CTR STE 2600",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DETROIT",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48243-1599",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "313-385-7566",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/31/2024",
    "LastUpdateDate": "02/09/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HARPER",
    "AuthorizedOfficialFirstName": "KHADIRAH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "215-851-2651",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "385H00000X",
          "TaxonomyName": "Respite Care",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.