NPI Code Detail JSON Logo

1821509613 NPI number — SUDEE HOME CARE, LLC.

NPI Number: 1821509613
Health Care Provider/Practitioner: SUDEE HOME CARE, LLC.

Information about “1821509613” NPI (SUDEE HOME CARE, LLC.) exists in 1821509613 in HTML format HTML  |  1821509613 in plain Text format TXT  |  1821509613 in PDF (Portable Document Format) PDF  |  1821509613 in an XML format XML  formats.

NPI Number : 1821509613 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821509613",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SUDEE HOME 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": "821 GARDEN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BRISTOL",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19007-3912",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "267-579-7421",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "821 GARDEN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRISTOL",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19007-3912",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "267-579-7421",
    "PracticeLocationAddressFaxNumber": "267-579-7421",
    "EnumerationDate": "10/19/2017",
    "LastUpdateDate": "10/19/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TAYLOR",
    "AuthorizedOfficialFirstName": "DEETTA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CO-PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "267-579-7421",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251E00000X",
        "TaxonomyName": "Home Health Agency",
        "LicenseNumber": "32943601",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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