NPI Code Detail JSON Logo

1972934743 NPI number — ROADRUNNER HOME HEALTH, LLC

NPI Number: 1972934743
Health Care Provider/Practitioner: ROADRUNNER HOME HEALTH, LLC

Information about “1972934743” NPI (ROADRUNNER HOME HEALTH, LLC) exists in 1972934743 in HTML format HTML  |  1972934743 in plain Text format TXT  |  1972934743 in PDF (Portable Document Format) PDF  |  1972934743 in an XML format XML  formats.

NPI Number : 1972934743 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972934743",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ROADRUNNER HOME HEALTH, 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": "PO BOX 2046",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CORRALES",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "87048-2046",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-321-7295",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2469 CORRALES RD",
    "SecondLinePracticeLocationAddress": "SUITE A BUILDING A",
    "PracticeLocationAddressCityName": "CORRALES",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87048",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "505-737-8213",
    "PracticeLocationAddressFaxNumber": "505-508-1514",
    "EnumerationDate": "12/04/2013",
    "LastUpdateDate": "01/11/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KECK",
    "AuthorizedOfficialFirstName": "JENNIFER",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER/CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "BSN",
    "AuthorizedOfficialTelephoneNumber": "505-321-7295",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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