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1922369453 NPI number — EXTRACARE CDS SERVICES,INC

NPI Number: 1922369453
Health Care Provider/Practitioner: EXTRACARE CDS SERVICES,INC

Information about “1922369453” NPI (EXTRACARE CDS SERVICES,INC) exists in 1922369453 in HTML format HTML  |  1922369453 in plain Text format TXT  |  1922369453 in PDF (Portable Document Format) PDF  |  1922369453 in an XML format XML  formats.

NPI Number : 1922369453 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922369453",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EXTRACARE CDS SERVICES,INC",
    "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": "8420 DELMAR BLVD STE 405",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT LOUIS",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63124-2179",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "314-432-2439",
    "MailingAddressFaxNumber": "314-432-2745",
    "FirstLinePracticeLocationAddress": "8420 DELMAR BLVD STE 405",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAINT LOUIS",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63124-2179",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "314-432-2439",
    "PracticeLocationAddressFaxNumber": "314-432-2745",
    "EnumerationDate": "05/31/2012",
    "LastUpdateDate": "03/11/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HARRIS",
    "AuthorizedOfficialFirstName": "CECILIA",
    "AuthorizedOfficialMiddleName": "M",
    "AuthorizedOfficialTitle": "PRESIDENT/CEO",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "314-432-2439",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251E00000X",
        "TaxonomyName": "Home Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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