NPI Code Detail JSON Logo

1952166829 NPI number — T MAG ELDER CARE LLC

NPI Number: 1952166829
Health Care Provider/Practitioner: T MAG ELDER CARE LLC

Information about “1952166829” NPI (T MAG ELDER CARE LLC) exists in 1952166829 in HTML format HTML  |  1952166829 in plain Text format TXT  |  1952166829 in PDF (Portable Document Format) PDF  |  1952166829 in an XML format XML  formats.

NPI Number : 1952166829 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952166829",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "T MAG ELDER CARE 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": "948 ARMSTRONG RD SE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PALM BAY",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32909-4511",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "347-515-4310",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "948 ARMSTRONG RD SE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PALM BAY",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32909-4511",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "347-515-4310",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/19/2024",
    "LastUpdateDate": "02/19/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KING",
    "AuthorizedOfficialFirstName": "ANTOINETTE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "347-515-4310",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251J00000X",
          "TaxonomyName": "Nursing Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QA0600X",
          "TaxonomyName": "Adult Day Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "310400000X",
          "TaxonomyName": "Assisted Living Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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