{
"Npi": {
"NPI": "1003118670",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "RESTORATION HOME CARE SERVICES INC.",
"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": "410 1ST AVE S STE 3",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CONOVER",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28613-2704",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "704-325-3814",
"MailingAddressFaxNumber": "704-325-3812",
"FirstLinePracticeLocationAddress": "410 1ST AVE S STE 3",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CONOVER",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28613-2704",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "704-325-3814",
"PracticeLocationAddressFaxNumber": "704-325-3812",
"EnumerationDate": "12/02/2010",
"LastUpdateDate": "10/27/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHERRILL",
"AuthorizedOfficialFirstName": "DIANE",
"AuthorizedOfficialMiddleName": "MAYFIELD",
"AuthorizedOfficialTitle": "OWNER/OPERATOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "704-325-3814",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "HC3970",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}