NPI Code Detail JSON Logo

1972200459 NPI number — GERAS LLC

NPI Number: 1972200459
Health Care Provider/Practitioner: GERAS LLC

Information about “1972200459” NPI (GERAS LLC) exists in 1972200459 in HTML format HTML  |  1972200459 in plain Text format TXT  |  1972200459 in PDF (Portable Document Format) PDF  |  1972200459 in an XML format XML  formats.

NPI Number : 1972200459 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972200459",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GERAS LLC",
    "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": "6000 E EVANS AVE STE 3-320",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DENVER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80222-5441",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "720-230-3363",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6000 E EVANS AVE STE 3-320",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DENVER",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80222-5441",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "720-230-3363",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/14/2023",
    "LastUpdateDate": "03/07/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WIBERG",
    "AuthorizedOfficialFirstName": "TIFFANY",
    "AuthorizedOfficialMiddleName": "J",
    "AuthorizedOfficialTitle": "CONTROLLER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "509-795-2211",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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