NPI Code Detail JSON Logo

1942857230 NPI number — AGELET ST.HUBERT AFCH PROVIDER

NPI Number: 1942857230
Health Care Provider/Practitioner: AGELET ST.HUBERT AFCH PROVIDER

Information about “1942857230” NPI (AGELET ST.HUBERT AFCH PROVIDER) exists in 1942857230 in HTML format HTML  |  1942857230 in plain Text format TXT  |  1942857230 in PDF (Portable Document Format) PDF  |  1942857230 in an XML format XML  formats.

NPI Number : 1942857230 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942857230",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ST.HUBERT",
    "FirstName": "AGELET",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "AFCH PROVIDER",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "764 AQUA SURF CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32225-0802",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "904-554-6051",
    "MailingAddressFaxNumber": "866-373-1832",
    "FirstLinePracticeLocationAddress": "764 AQUA SURF CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32225-0802",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-554-6051",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/21/2019",
    "LastUpdateDate": "08/21/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "311ZA0620X",
        "TaxonomyName": "Adult Care Home Facility",
        "LicenseNumber": "6906603",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.