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1982386173 NPI number — ABOVE AND BEYOND CARE PROVIDERS LLC

NPI Number: 1982386173
Health Care Provider/Practitioner: ABOVE AND BEYOND CARE PROVIDERS LLC

Information about “1982386173” NPI (ABOVE AND BEYOND CARE PROVIDERS LLC) exists in 1982386173 in HTML format HTML  |  1982386173 in plain Text format TXT  |  1982386173 in PDF (Portable Document Format) PDF  |  1982386173 in an XML format XML  formats.

NPI Number : 1982386173 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982386173",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ABOVE AND BEYOND CARE PROVIDERS 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": "4340 LOCKWOOD AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90029-2810",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "323-426-9123",
    "MailingAddressFaxNumber": "323-922-2351",
    "FirstLinePracticeLocationAddress": "4340 LOCKWOOD AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90029-2810",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "323-426-9123",
    "PracticeLocationAddressFaxNumber": "323-922-2351",
    "EnumerationDate": "08/07/2023",
    "LastUpdateDate": "08/30/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DUFRENNE",
    "AuthorizedOfficialFirstName": "PATRIA",
    "AuthorizedOfficialMiddleName": "MARAVILLA",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN",
    "AuthorizedOfficialTelephoneNumber": "909-210-0365",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3104A0625X",
        "TaxonomyName": "Assisted Living Facility (Mental Illness)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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