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1932682788 NPI number — 1ST OPTION SENIORS DAY HEALTCARE, INC

NPI Number: 1932682788
Health Care Provider/Practitioner: 1ST OPTION SENIORS DAY HEALTCARE, INC

Information about “1932682788” NPI (1ST OPTION SENIORS DAY HEALTCARE, INC) exists in 1932682788 in HTML format HTML  |  1932682788 in plain Text format TXT  |  1932682788 in PDF (Portable Document Format) PDF  |  1932682788 in an XML format XML  formats.

NPI Number : 1932682788 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932682788",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "1ST OPTION SENIORS DAY HEALTCARE, INC",
    "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": "6111 HARRISON STREET, P.O. BOX 11447",
    "SecondLineMailingAddress": "SUITE 225",
    "MailingAddressCityName": "MERRILLVILLE",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46410",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "219-455-6259",
    "MailingAddressFaxNumber": "219-455-6318",
    "FirstLinePracticeLocationAddress": "6111 HARRISON STREET",
    "SecondLinePracticeLocationAddress": "SUITE 225",
    "PracticeLocationAddressCityName": "MERRILLVILLE",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46410",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "219-455-6259",
    "PracticeLocationAddressFaxNumber": "219-455-6318",
    "EnumerationDate": "09/07/2018",
    "LastUpdateDate": "09/07/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OKWARA",
    "AuthorizedOfficialFirstName": "WILLY",
    "AuthorizedOfficialMiddleName": "ORIE",
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "219-455-6259",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QA0600X",
        "TaxonomyName": "Adult Day Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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