NPI Code Detail JSON Logo

1760193486 NPI number — THE GOOD VIBES LLC

NPI Number: 1760193486
Health Care Provider/Practitioner: THE GOOD VIBES LLC

Information about “1760193486” NPI (THE GOOD VIBES LLC) exists in 1760193486 in HTML format HTML  |  1760193486 in plain Text format TXT  |  1760193486 in PDF (Portable Document Format) PDF  |  1760193486 in an XML format XML  formats.

NPI Number : 1760193486 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760193486",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THE GOOD VIBES LLC",
    "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": "5933 S WENATCHEE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AURORA",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80015-6658",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "720-412-3394",
    "MailingAddressFaxNumber": "720-222-5150",
    "FirstLinePracticeLocationAddress": "5933 S WENATCHEE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AURORA",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80015-6658",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "720-412-3394",
    "PracticeLocationAddressFaxNumber": "720-222-5150",
    "EnumerationDate": "12/13/2022",
    "LastUpdateDate": "12/13/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SIANTURI",
    "AuthorizedOfficialFirstName": "TIMBUL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "909-725-9374",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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