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1801940176 NPI number — LTC OF OSCEOLA LLC

NPI Number: 1801940176
Health Care Provider/Practitioner: LTC OF OSCEOLA LLC

Information about “1801940176” NPI (LTC OF OSCEOLA LLC) exists in 1801940176 in HTML format HTML  |  1801940176 in plain Text format TXT  |  1801940176 in PDF (Portable Document Format) PDF  |  1801940176 in an XML format XML  formats.

NPI Number : 1801940176 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801940176",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LTC OF OSCEOLA 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": "4201 W NEW NOLTE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT CLOUD",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34772-7100",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "407-957-3341",
    "MailingAddressFaxNumber": "407-957-8521",
    "FirstLinePracticeLocationAddress": "4201 W NEW NOLTE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAINT CLOUD",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34772-7100",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "407-957-3341",
    "PracticeLocationAddressFaxNumber": "407-957-8521",
    "EnumerationDate": "01/23/2007",
    "LastUpdateDate": "02/04/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PATE",
    "AuthorizedOfficialFirstName": "BOB",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "407-957-3341",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "314000000X",
        "TaxonomyName": "Skilled Nursing Facility",
        "LicenseNumber": "SNF1398096",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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