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1912390865 NPI number — LHC SENIORS ASSOCIATION

NPI Number: 1912390865
Health Care Provider/Practitioner: LHC SENIORS ASSOCIATION

Information about “1912390865” NPI (LHC SENIORS ASSOCIATION) exists in 1912390865 in HTML format HTML  |  1912390865 in plain Text format TXT  |  1912390865 in PDF (Portable Document Format) PDF  |  1912390865 in an XML format XML  formats.

NPI Number : 1912390865 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912390865",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LHC SENIORS ASSOCIATION",
    "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": "PO BOX 880",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSON",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39205-0880",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "601-624-5397",
    "MailingAddressFaxNumber": "601-354-6866",
    "FirstLinePracticeLocationAddress": "652 HIGHWAY 80 E",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CLINTON",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39056-5123",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "601-624-5397",
    "PracticeLocationAddressFaxNumber": "601-354-6866",
    "EnumerationDate": "03/16/2015",
    "LastUpdateDate": "10/22/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ELEY",
    "AuthorizedOfficialFirstName": "DENISE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRISDENT",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "601-354-7866",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QA0600X",
          "TaxonomyName": "Adult Day Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "376J00000X",
          "TaxonomyName": "Homemaker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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