{
"Npi": {
"NPI": "1003227331",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "WINYAH HOME HEALTH CARE, 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": "137 PROFESSIONAL LN",
"SecondLineMailingAddress": "SUITE C",
"MailingAddressCityName": "PAWLEYS ISLAND",
"MailingAddressStateName": "SC",
"MailingAddressPostalCode": "29585-8631",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "843-979-7079",
"MailingAddressFaxNumber": "843-979-7057",
"FirstLinePracticeLocationAddress": "172 MCSWAIN DR",
"SecondLinePracticeLocationAddress": "SUITE A",
"PracticeLocationAddressCityName": "WEST COLUMBIA",
"PracticeLocationAddressStateName": "SC",
"PracticeLocationAddressPostalCode": "29169-4804",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "803-771-7740",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/08/2014",
"LastUpdateDate": "05/08/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COOPER",
"AuthorizedOfficialFirstName": "GARY",
"AuthorizedOfficialMiddleName": "C.",
"AuthorizedOfficialTitle": "CHAIRMAN",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MHA",
"AuthorizedOfficialTelephoneNumber": "843-979-7079",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "HHA-0220",
"LicenseNumberStateCode": "SC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}