NPI Code Detail JSON Logo

1821895194 NPI number — VANGUARD OR LLC

NPI Number: 1821895194
Health Care Provider/Practitioner: VANGUARD OR LLC

Information about “1821895194” NPI (VANGUARD OR LLC) exists in 1821895194 in HTML format HTML  |  1821895194 in plain Text format TXT  |  1821895194 in PDF (Portable Document Format) PDF  |  1821895194 in an XML format XML  formats.

NPI Number : 1821895194 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821895194",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "VANGUARD OR 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": "31917 N 64TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CAVE CREEK",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85331-2700",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9541 SW INEZ ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TIGARD",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97224-5885",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "602-851-9710",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/25/2025",
    "LastUpdateDate": "02/25/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BRIGGS",
    "AuthorizedOfficialFirstName": "LAWRENCE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "480-320-0752",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QM0850X",
          "TaxonomyName": "Adult Mental Health Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QR0405X",
          "TaxonomyName": "Substance Use Disorder Rehabilitation Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "324500000X",
          "TaxonomyName": "Substance Abuse Rehabilitation Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "320800000X",
          "TaxonomyName": "Mental Illness Community Based Residential Treatment Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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