{
"Npi": {
"NPI": "1003203506",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ARCH CREEK SENIOR CARE SERVICES INCORPORATED",
"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": "2065 NE 163 STREET",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORTH MIAMI BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33162",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "305-944-0663",
"MailingAddressFaxNumber": "305-944-0662",
"FirstLinePracticeLocationAddress": "13899 BISCAYNE BLVD",
"SecondLinePracticeLocationAddress": "SUITE 228",
"PracticeLocationAddressCityName": "NORTH MIAMI BEACH",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33181-1600",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "786-916-0661",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/22/2015",
"LastUpdateDate": "09/13/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STURRUP",
"AuthorizedOfficialFirstName": "CASSANDRA",
"AuthorizedOfficialMiddleName": "LANNETTE",
"AuthorizedOfficialTitle": "OWNER/ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "786-916-0661",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": "233757",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}