NPI Code Detail JSON Logo

1760286322 NPI number — SERENITY SPRING SPA LLC

NPI Number: 1760286322
Health Care Provider/Practitioner: SERENITY SPRING SPA LLC

Information about “1760286322” NPI (SERENITY SPRING SPA LLC) exists in 1760286322 in HTML format HTML  |  1760286322 in plain Text format TXT  |  1760286322 in PDF (Portable Document Format) PDF  |  1760286322 in an XML format XML  formats.

NPI Number : 1760286322 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760286322",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SERENITY SPRING SPA 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": "995 CEDARVILLE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EASTON",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "18042-6925",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "862-307-6000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1910 HAY TER",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EASTON",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "18042-4615",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "862-307-0000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/02/2025",
    "LastUpdateDate": "07/22/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CARTER",
    "AuthorizedOfficialFirstName": "SHAKIRA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "862-307-6000",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "175L00000X",
        "TaxonomyName": "Homeopath",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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