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1821044165 NPI number — BGM GROUP, LLC

NPI Number: 1821044165
Health Care Provider/Practitioner: BGM GROUP, LLC

Information about “1821044165” NPI (BGM GROUP, LLC) exists in 1821044165 in HTML format HTML  |  1821044165 in plain Text format TXT  |  1821044165 in PDF (Portable Document Format) PDF  |  1821044165 in an XML format XML  formats.

NPI Number : 1821044165 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821044165",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BGM GROUP, 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": "71683 RIVERSIDE DR STE 110",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COVINGTON",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70433-9016",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "985-845-7088",
    "MailingAddressFaxNumber": "985-845-7098",
    "FirstLinePracticeLocationAddress": "71683 RIVERSIDE DR STE 110",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COVINGTON",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70433-9016",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "985-845-7088",
    "PracticeLocationAddressFaxNumber": "985-845-7098",
    "EnumerationDate": "05/26/2006",
    "LastUpdateDate": "02/07/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CROWE",
    "AuthorizedOfficialFirstName": "DAVID",
    "AuthorizedOfficialMiddleName": "BARRETT",
    "AuthorizedOfficialTitle": "CFO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "985-845-7088",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": "1046",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": "2203784043",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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