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1871368399 NPI number — BLACK ENTERPRISES OF NC LLC

NPI Number: 1871368399
Health Care Provider/Practitioner: BLACK ENTERPRISES OF NC LLC

Information about “1871368399” NPI (BLACK ENTERPRISES OF NC LLC) exists in 1871368399 in HTML format HTML  |  1871368399 in plain Text format TXT  |  1871368399 in PDF (Portable Document Format) PDF  |  1871368399 in an XML format XML  formats.

NPI Number : 1871368399 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871368399",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BLACK ENTERPRISES OF NC 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": "1002 BELL RIDGE CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCKWELL",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28138-7437",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "704-239-2199",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "906 3RD ST SE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CONOVER",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28613-1813",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "704-239-2199",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/15/2023",
    "LastUpdateDate": "11/15/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BLACK",
    "AuthorizedOfficialFirstName": "CASEY",
    "AuthorizedOfficialMiddleName": "WILLIAM",
    "AuthorizedOfficialTitle": "MANAGING MEMBER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "704-239-2199",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "311ZA0620X",
        "TaxonomyName": "Adult Care Home Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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