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1891402731 NPI number — VERNGO HEALTHCARE SERVICES LLC

NPI Number: 1891402731
Health Care Provider/Practitioner: VERNGO HEALTHCARE SERVICES LLC

Information about “1891402731” NPI (VERNGO HEALTHCARE SERVICES LLC) exists in 1891402731 in HTML format HTML  |  1891402731 in plain Text format TXT  |  1891402731 in PDF (Portable Document Format) PDF  |  1891402731 in an XML format XML  formats.

NPI Number : 1891402731 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891402731",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "VERNGO HEALTHCARE SERVICES 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": "13002 ORCHARD GLEN DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RICHMOND",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77407-3204",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "832-282-0862",
    "MailingAddressFaxNumber": "281-261-3304",
    "FirstLinePracticeLocationAddress": "13002 ORCHARD GLEN DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RICHMOND",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77407-3204",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "832-282-0862",
    "PracticeLocationAddressFaxNumber": "281-261-3304",
    "EnumerationDate": "10/31/2022",
    "LastUpdateDate": "10/31/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ENWERE",
    "AuthorizedOfficialFirstName": "MCHUKS",
    "AuthorizedOfficialMiddleName": "PAULINUS",
    "AuthorizedOfficialTitle": "MANAGING MEMBER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "832-282-0862",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "320800000X",
        "TaxonomyName": "Mental Illness Community Based Residential Treatment Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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