NPI Code Detail JSON Logo

1740194703 NPI number — THE PROMISE ADULT FAMILY HOME

NPI Number: 1740194703
Health Care Provider/Practitioner: THE PROMISE ADULT FAMILY HOME

Information about “1740194703” NPI (THE PROMISE ADULT FAMILY HOME) exists in 1740194703 in HTML format HTML  |  1740194703 in plain Text format TXT  |  1740194703 in PDF (Portable Document Format) PDF  |  1740194703 in an XML format XML  formats.

NPI Number : 1740194703 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740194703",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THE PROMISE ADULT FAMILY HOME",
    "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": "4707 N BOLIVAR COURT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPOKANE VALLEY",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "99216",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "509-798-8115",
    "MailingAddressFaxNumber": "509-267-1411",
    "FirstLinePracticeLocationAddress": "4707 N BOLIVAR COURT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPOKANE VALLEY",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "99216-2594",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "509-798-8115",
    "PracticeLocationAddressFaxNumber": "509-267-1411",
    "EnumerationDate": "09/29/2026",
    "LastUpdateDate": "09/29/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HENTGES",
    "AuthorizedOfficialFirstName": "JULIA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PROVIDER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "509-608-1097",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "376G00000X",
        "TaxonomyName": "Nursing Home Administrator",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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