NPI Code Detail JSON Logo

1831906247 NPI number — SUPPORT COMMUNITY SERVICES

NPI Number: 1831906247
Health Care Provider/Practitioner: SUPPORT COMMUNITY SERVICES

Information about “1831906247” NPI (SUPPORT COMMUNITY SERVICES) exists in 1831906247 in HTML format HTML  |  1831906247 in plain Text format TXT  |  1831906247 in PDF (Portable Document Format) PDF  |  1831906247 in an XML format XML  formats.

NPI Number : 1831906247 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831906247",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SUPPORT COMMUNITY SERVICES",
    "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": "8031 W CENTER RD STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OMAHA",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68124-3134",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "402-510-9396",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8031 W CENTER RD STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OMAHA",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68124-3134",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "402-510-9396",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/18/2024",
    "LastUpdateDate": "12/18/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ADOUNVO",
    "AuthorizedOfficialFirstName": "HEINDRICK",
    "AuthorizedOfficialMiddleName": "AFRANDIS",
    "AuthorizedOfficialTitle": "ONWER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "970-405-5916",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "311ZA0620X",
          "TaxonomyName": "Adult Care Home Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "315P00000X",
          "TaxonomyName": "Intellectual Disabilities Intermediate Care Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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