NPI Code Detail JSON Logo

1992529630 NPI number — PASSIONATE PALS PERSONAL CARE AGENCY LLC

NPI Number: 1992529630
Health Care Provider/Practitioner: PASSIONATE PALS PERSONAL CARE AGENCY LLC

Information about “1992529630” NPI (PASSIONATE PALS PERSONAL CARE AGENCY LLC) exists in 1992529630 in HTML format HTML  |  1992529630 in plain Text format TXT  |  1992529630 in PDF (Portable Document Format) PDF  |  1992529630 in an XML format XML  formats.

NPI Number : 1992529630 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992529630",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PASSIONATE PALS PERSONAL CARE AGENCY 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": "4858 COVERED BRIDGE RD APT D",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "INDIANAPOLIS",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46268-3429",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-720-8571",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4858 COVERED BRIDGE RD APT D",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "INDIANAPOLIS",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46268-3429",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-720-8571",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/11/2024",
    "LastUpdateDate": "11/11/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DEAN",
    "AuthorizedOfficialFirstName": "ZIMMYRA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "317-720-8571",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "253Z00000X",
        "TaxonomyName": "In Home Supportive Care Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.