NPI Code Detail JSON Logo

1780110304 NPI number — BROOKS ALTERNATIVE AGENCY INCORPORATED

NPI Number: 1780110304
Health Care Provider/Practitioner: BROOKS ALTERNATIVE AGENCY INCORPORATED

Information about “1780110304” NPI (BROOKS ALTERNATIVE AGENCY INCORPORATED) exists in 1780110304 in HTML format HTML  |  1780110304 in plain Text format TXT  |  1780110304 in PDF (Portable Document Format) PDF  |  1780110304 in an XML format XML  formats.

NPI Number : 1780110304 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780110304",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BROOKS ALTERNATIVE AGENCY INCORPORATED",
    "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": "1242 POINT BREEZE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHILADELPHIA",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19146-4362",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "800-282-2208",
    "MailingAddressFaxNumber": "856-282-3381",
    "FirstLinePracticeLocationAddress": "175 WHITE HORSE RD W",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VOORHEES",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08043-3673",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "800-282-2208",
    "PracticeLocationAddressFaxNumber": "856-282-3381",
    "EnumerationDate": "05/02/2017",
    "LastUpdateDate": "09/09/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BROOKS",
    "AuthorizedOfficialFirstName": "SONJI",
    "AuthorizedOfficialMiddleName": "L",
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN",
    "AuthorizedOfficialTelephoneNumber": "800-282-2208",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251G00000X",
          "TaxonomyName": "Community Based Hospice Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251J00000X",
          "TaxonomyName": "Nursing Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251X00000X",
          "TaxonomyName": "Supports Brokerage Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "291U00000X",
          "TaxonomyName": "Clinical Medical Laboratory",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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