NPI Code Detail JSON Logo

1972641496 NPI number — LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP

NPI Number: 1972641496
Health Care Provider/Practitioner: LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP

Information about “1972641496” NPI (LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP) exists in 1972641496 in HTML format HTML  |  1972641496 in plain Text format TXT  |  1972641496 in PDF (Portable Document Format) PDF  |  1972641496 in an XML format XML  formats.

NPI Number : 1972641496 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972641496",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP",
    "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": "1647 SASSAFRAS ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ERIE",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "16502-1858",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "814-877-6121",
    "MailingAddressFaxNumber": "814-459-1858",
    "FirstLinePracticeLocationAddress": "195 E MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRADFORD",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "16701-1619",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "814-362-8141",
    "PracticeLocationAddressFaxNumber": "814-362-9113",
    "EnumerationDate": "02/05/2007",
    "LastUpdateDate": "07/27/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DUBOWSKI",
    "AuthorizedOfficialFirstName": "KATHY",
    "AuthorizedOfficialMiddleName": "L",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN, MSN",
    "AuthorizedOfficialTelephoneNumber": "814-877-6121",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "335E00000X",
          "TaxonomyName": "Prosthetic/Orthotic Supplier",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BX2000X",
          "TaxonomyName": "Oxygen Equipment & Supplies (DME)",
          "LicenseNumber": "8000002064",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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