NPI Code Detail JSON Logo

1780525386 NPI number — JAYJAY CARE LLC

NPI Number: 1780525386
Health Care Provider/Practitioner: JAYJAY CARE LLC

Information about “1780525386” NPI (JAYJAY CARE LLC) exists in 1780525386 in HTML format HTML  |  1780525386 in plain Text format TXT  |  1780525386 in PDF (Portable Document Format) PDF  |  1780525386 in an XML format XML  formats.

NPI Number : 1780525386 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780525386",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "JAYJAY CARE LLC",
    "ParentOrgTIN": null,
    "OrgName": "JAYJAY CARE 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": "3523 45TH ST S # 183",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FARGO",
    "MailingAddressStateName": "ND",
    "MailingAddressPostalCode": "58104-8962",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "701-200-1571",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4643 36TH AVE S",
    "SecondLinePracticeLocationAddress": "APT 303",
    "PracticeLocationAddressCityName": "FARGO",
    "PracticeLocationAddressStateName": "ND",
    "PracticeLocationAddressPostalCode": "58104",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "701-200-1571",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/06/2026",
    "LastUpdateDate": "04/06/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SMITH",
    "AuthorizedOfficialFirstName": "WILLIAM",
    "AuthorizedOfficialMiddleName": "DARUS",
    "AuthorizedOfficialTitle": "PROGRAM DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "AAS, BAS-PM",
    "AuthorizedOfficialTelephoneNumber": "701-200-1571",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "252Y00000X",
          "TaxonomyName": "Early Intervention Provider Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251C00000X",
          "TaxonomyName": "Developmentally Disabled Services Day Training Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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