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1811009442 NPI number — CATHEDRAL GERONTOLOGY CENTER, INC.

NPI Number: 1811009442
Health Care Provider/Practitioner: CATHEDRAL GERONTOLOGY CENTER, INC.

Information about “1811009442” NPI (CATHEDRAL GERONTOLOGY CENTER, INC.) exists in 1811009442 in HTML format HTML  |  1811009442 in plain Text format TXT  |  1811009442 in PDF (Portable Document Format) PDF  |  1811009442 in an XML format XML  formats.

NPI Number : 1811009442 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811009442",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CATHEDRAL GERONTOLOGY CENTER, INC.",
    "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": "333 E ASHLEY ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32202-2709",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "904-798-5300",
    "MailingAddressFaxNumber": "904-854-7354",
    "FirstLinePracticeLocationAddress": "333 E ASHLEY ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32202-2709",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-798-5300",
    "PracticeLocationAddressFaxNumber": "904-854-7354",
    "EnumerationDate": "08/31/2006",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BRWON",
    "AuthorizedOfficialFirstName": "SHARON",
    "AuthorizedOfficialMiddleName": "G",
    "AuthorizedOfficialTitle": "V.P./N.H.ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": "MISS",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "N.H. ADMIN. M.S.",
    "AuthorizedOfficialTelephoneNumber": "904-798-5300",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "314000000X",
        "TaxonomyName": "Skilled Nursing Facility",
        "LicenseNumber": "SNF1079096",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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