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1750637781 NPI number — ACHIEVEMENT CENTERS OF AMERICA LLC

NPI Number: 1750637781
Health Care Provider/Practitioner: ACHIEVEMENT CENTERS OF AMERICA LLC

Information about “1750637781” NPI (ACHIEVEMENT CENTERS OF AMERICA LLC) exists in 1750637781 in HTML format HTML  |  1750637781 in plain Text format TXT  |  1750637781 in PDF (Portable Document Format) PDF  |  1750637781 in an XML format XML  formats.

NPI Number : 1750637781 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750637781",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ACHIEVEMENT CENTERS OF AMERICA 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": "7723 TYLERS PLACE BLVD",
    "SecondLineMailingAddress": "SUITE 297",
    "MailingAddressCityName": "WEST CHESTER",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45069-4684",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "513-448-0022",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7723 TYLERS PLACE BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 297",
    "PracticeLocationAddressCityName": "WEST CHESTER",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45069-4684",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "513-448-0022",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/27/2012",
    "LastUpdateDate": "07/27/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HONNERT",
    "AuthorizedOfficialFirstName": "GRANT",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.ED.",
    "AuthorizedOfficialTelephoneNumber": "513-448-0022",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251C00000X",
          "TaxonomyName": "Developmentally Disabled Services Day Training Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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