NPI Code Detail JSON Logo

1962553800 NPI number — RE-ENTER, INC.

NPI Number: 1962553800
Health Care Provider/Practitioner: RE-ENTER, INC.

Information about “1962553800” NPI (RE-ENTER, INC.) exists in 1962553800 in HTML format HTML  |  1962553800 in plain Text format TXT  |  1962553800 in PDF (Portable Document Format) PDF  |  1962553800 in an XML format XML  formats.

NPI Number : 1962553800 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962553800",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "RE-ENTER, 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": "PO BOX 7",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BIRDSBORO",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19508-0007",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "215-222-2770",
    "MailingAddressFaxNumber": "215-222-3165",
    "FirstLinePracticeLocationAddress": "3331 POWELTON AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHILADELPHIA",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19104-2725",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "215-222-2770",
    "PracticeLocationAddressFaxNumber": "215-222-3165",
    "EnumerationDate": "01/16/2007",
    "LastUpdateDate": "02/24/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HUDSON",
    "AuthorizedOfficialFirstName": "VANCE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "215-850-9656",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "324500000X",
          "TaxonomyName": "Substance Abuse Rehabilitation Facility",
          "LicenseNumber": "807245",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": "807245",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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