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1861823270 NPI number — LIFETIME CARE INCORPORATED

NPI Number: 1861823270
Health Care Provider/Practitioner: LIFETIME CARE INCORPORATED

Information about “1861823270” NPI (LIFETIME CARE INCORPORATED) exists in 1861823270 in HTML format HTML  |  1861823270 in plain Text format TXT  |  1861823270 in PDF (Portable Document Format) PDF  |  1861823270 in an XML format XML  formats.

NPI Number : 1861823270 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861823270",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LIFETIME CARE INCORPORATED",
    "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": "3200 MATTHEWS MINT HILL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MATTHEWS",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28105-4029",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "336-328-4890",
    "MailingAddressFaxNumber": "704-847-0758",
    "FirstLinePracticeLocationAddress": "1107 CARTHAGE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANFORD",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27330-4162",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "336-328-4890",
    "PracticeLocationAddressFaxNumber": "704-847-0758",
    "EnumerationDate": "12/11/2013",
    "LastUpdateDate": "12/11/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ROBINSON",
    "AuthorizedOfficialFirstName": "ALFREDA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN",
    "AuthorizedOfficialTelephoneNumber": "336-328-4890",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "310400000X",
        "TaxonomyName": "Assisted Living Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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