NPI Code Detail JSON Logo

1881386670 NPI number — THREE SPRINGS SENIOR LIVING & REHABILITATION LLC

NPI Number: 1881386670
Health Care Provider/Practitioner: THREE SPRINGS SENIOR LIVING & REHABILITATION LLC

Information about “1881386670” NPI (THREE SPRINGS SENIOR LIVING & REHABILITATION LLC) exists in 1881386670 in HTML format HTML  |  1881386670 in plain Text format TXT  |  1881386670 in PDF (Portable Document Format) PDF  |  1881386670 in an XML format XML  formats.

NPI Number : 1881386670 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881386670",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THREE SPRINGS SENIOR LIVING & REHABILITATION 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": "215 E LOCUST ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HARRISBURG",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "62946-1504",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "618-713-5284",
    "MailingAddressFaxNumber": "618-294-8699",
    "FirstLinePracticeLocationAddress": "161 3 SPRINGS RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHESTER",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "62233-1064",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "618-826-3210",
    "PracticeLocationAddressFaxNumber": "618-826-3821",
    "EnumerationDate": "05/22/2023",
    "LastUpdateDate": "08/10/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "STOUT",
    "AuthorizedOfficialFirstName": "SCOTT",
    "AuthorizedOfficialMiddleName": "E",
    "AuthorizedOfficialTitle": "CEO/OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LNHA",
    "AuthorizedOfficialTelephoneNumber": "618-713-5284",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "314000000X",
        "TaxonomyName": "Skilled Nursing Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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