| Name | Description | Type | Additional information |
|---|---|---|---|
| No | string |
None. |
|
| FirstName | string |
None. |
|
| MiddleName | string |
None. |
|
| LastName | string |
None. |
|
| Suffix | string |
None. |
|
| MiddleInitial | string |
None. |
|
| ProviderName | string |
None. |
|
| BirthDate | string |
None. |
|
| Sex | string |
None. |
|
| Address | string |
None. |
|
| Address2 | string |
None. |
|
| City | string |
None. |
|
| State | string |
None. |
|
| ZipCode | string |
None. |
|
| SocialSecurityNo | string |
None. |
|
| PhoneNo | string |
None. |
|
| MobileNo | string |
None. |
|
| Extension | string |
None. |
|
| FaxNo | string |
None. |
|
| string |
None. |
||
| WebSite | string |
None. |
|
| LastModifiedDateTime | string |
None. |
|
| Comment | string |
None. |
|
| CountyCode | string |
None. |
|
| AgencyType | string |
None. |
|
| Status | string |
None. |
|
| Blocked | string |
None. |
|
| ClassCode | string |
None. |
|
| PublicDisplay | string |
None. |
|
| ExternalReferenceID | string |
None. |
|
| CreatedDateTimeFilter | string |
None. |
|
| EmployeeParameters | string |
None. |
|
| PositionCode | string |
None. |
|
| AltAddress1 | string |
None. |
|
| AltAddress2 | string |
None. |
|
| AltCity | string |
None. |
|
| AltState | string |
None. |
|
| AltZipCode | string |
None. |
|
| AltPhone | string |
None. |
|
| AHCCCSCode | string |
None. |
|
| SSNIsVerified | string |
None. |
|
| MarkedforDeletion | string |
None. |
|
| EmploymentStatus | string |
None. |
|
| MailingAddress | string |
None. |
|
| MailingAddress2 | string |
None. |
|
| MailingCity | string |
None. |
|
| MailingState | string |
None. |
|
| MailingZipCode | string |
None. |
|
| ProgramCode | string |
None. |
|
| ExpenditureLimitPeriod | string |
None. |
|
| ExpenditureLimitQtyType | string |
None. |
|
| ExpenditureLimitQuantity | string |
None. |
|
| FundingRemainingBalance | string |
None. |
|
| CountyOfPrincipalEmployment | string |
None. |
|
| ServiceArea | string |
None. |
|
| LanguageCode | string |
None. |
|
| EnrollmentStatus | string |
None. |
|
| UnionCode | string |
None. |
|
| UnionMembershipNo | string |
None. |
|
| EmploymentDate | string |
None. |
|
| ServiceEndDate | string |
None. |
|
| GenericProvider | string |
None. |
|
| BundleChecksbyCons | string |
None. |
|
| IsDoNotMailRemitAdvice | string |
None. |
|
| IsInternalRecord | string |
None. |
|
| LocTaxCode | string |
None. |
|
| Race | string |
None. |
|
| SuppressContact | string |
None. |
|
| PhoneNoUnvetted | string |
None. |
|
| TaxStatus | string |
None. |
|
| CCH | string |
None. |
|
| HomeCareAidCert1 | string |
None. |
|
| CurrentPayRate | string |
None. |
|
| MailRemitAdviceOptions | string |
None. |
|
| MaritalStatus | string |
None. |
|
| ExternalReferenceID2 | string |
None. |
|
| ProviderProfileDifferenceFound | string |
None. |
|
| SafetyOrientationReqMet | string |
None. |
|
| SafetyOrientationReqMetDate | string |
None. |
|
| W2TrainingExempt | string |
None. |
|
| ExternalReferenceID3 | string |
None. |
|
| Title | string |
None. |
|
| UnionMemberShipType | string |
None. |
|
| PrefferedContactMethod | string |
None. |
|
| PrefferedContactMethod2 | string |
None. |
|
| PrefferedContactMethod3 | string |
None. |
|
| DeathDate | string |
None. |
|
| Deceased | string |
None. |
|
| IsStopPaperTS | string |
None. |
|
| LegalName | string |
None. |
|
| WeeklyHourlyCap | string |
None. |
|
| CHCExpirationDate | string |
None. |
|
| PEAAExpirationDate | string |
None. |
|
| TextMsgPhoneNo | string |
None. |
|
| TextMsgMobileNo | string |
None. |
|
| TextMsgAltNo | string |
None. |
|
| EmployeeWorker | string |
None. |
|
| EmployeeNo | string |
None. |
|
| EmployeeWorkerNo | string |
None. |
|
| WorkerFirstName | string |
None. |
|
| WorkerLastName | string |
None. |
|
| WorkerPhoneNo | string |
None. |
|
| WorkerStatus | string |
None. |
|
| WorkerRate | string |
None. |
|
| ServiceCode | string |
None. |