NPI Code Detail JSON Logo

1780549121 NPI number — FOUNDATION HEALTH DPC, LLC

NPI Number: 1780549121
Health Care Provider/Practitioner: FOUNDATION HEALTH DPC, LLC

Information about “1780549121” NPI (FOUNDATION HEALTH DPC, LLC) exists in 1780549121 in HTML format HTML  |  1780549121 in plain Text format TXT  |  1780549121 in PDF (Portable Document Format) PDF  |  1780549121 in an XML format XML  formats.

NPI Number : 1780549121 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780549121",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "FOUNDATION HEALTH DPC, 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": "1705 MEADOW DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HINCKLEY",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44233-9524",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "330-952-4960",
    "MailingAddressFaxNumber": "330-615-7735",
    "FirstLinePracticeLocationAddress": "1296 RIDGE RD UNIT B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HINCKLEY",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44233-9258",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "330-952-4960",
    "PracticeLocationAddressFaxNumber": "330-615-7735",
    "EnumerationDate": "12/18/2025",
    "LastUpdateDate": "12/18/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MANCINI",
    "AuthorizedOfficialFirstName": "GABRIEL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DO",
    "AuthorizedOfficialTelephoneNumber": "330-952-4960",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "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 © 2007-2025 Data Labs Health. All rights reserved.