NPI Code Detail JSON Logo

1841715539 NPI number — HAPPICARE ONE LLC PPEC PEDIATRIC DAYCARE

NPI Number: 1841715539
Health Care Provider/Practitioner: HAPPICARE ONE LLC PPEC PEDIATRIC DAYCARE

Information about “1841715539” NPI (HAPPICARE ONE LLC PPEC PEDIATRIC DAYCARE) exists in 1841715539 in HTML format HTML  |  1841715539 in plain Text format TXT  |  1841715539 in PDF (Portable Document Format) PDF  |  1841715539 in an XML format XML  formats.

NPI Number : 1841715539 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841715539",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HAPPICARE ONE LLC PPEC PEDIATRIC DAYCARE",
    "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": "213 W PARK AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GREENWOOD",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "38930-3008",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "662-374-5028",
    "MailingAddressFaxNumber": "662-374-5039",
    "FirstLinePracticeLocationAddress": "213 W PARK AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENWOOD",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "38930-3008",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "662-299-9385",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/03/2017",
    "LastUpdateDate": "02/18/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WILLIAMS",
    "AuthorizedOfficialFirstName": "HOPE",
    "AuthorizedOfficialMiddleName": "ELIZABETH",
    "AuthorizedOfficialTitle": "INTERIM ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "NP",
    "AuthorizedOfficialTelephoneNumber": "662-374-5028",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "208000000X",
          "TaxonomyName": "Pediatrics Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3140N1450X",
          "TaxonomyName": "Pediatric Skilled Nursing Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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