NPI Code Detail JSON Logo

1861927626 NPI number — NUTRACO LLC

NPI Number: 1861927626
Health Care Provider/Practitioner: NUTRACO LLC

Information about “1861927626” NPI (NUTRACO LLC) exists in 1861927626 in HTML format HTML  |  1861927626 in plain Text format TXT  |  1861927626 in PDF (Portable Document Format) PDF  |  1861927626 in an XML format XML  formats.

NPI Number : 1861927626 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861927626",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NUTRACO LLC",
    "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": "121 MOUNTAIN VIEW DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKEWOOD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08701-5857",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5691 BROOKFIELD CIR W",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT LAUDERDALE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33312-6283",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-510-6776",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/28/2017",
    "LastUpdateDate": "07/17/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SOKOL",
    "AuthorizedOfficialFirstName": "CHAYA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "718-510-6776",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "283X00000X",
          "TaxonomyName": "Rehabilitation Hospital",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "310400000X",
          "TaxonomyName": "Assisted Living Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "313M00000X",
          "TaxonomyName": "Nursing Facility/Intermediate Care Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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