{
"Npi": {
"NPI": "1023235157",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ST. MARY'S COUNTY GOV'T, DEPT. OF AGING, MEDICAL ADULT DAY SERVICES",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 653",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LEONARDTOWN",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20650-0653",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "301-475-4200",
"MailingAddressFaxNumber": "301-475-4503",
"FirstLinePracticeLocationAddress": "24400 MERVELL DEAN RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HOLLYWOOD",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "20636-2709",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "301-373-6515",
"PracticeLocationAddressFaxNumber": "301-373-6517",
"EnumerationDate": "04/19/2007",
"LastUpdateDate": "07/13/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HARRIS",
"AuthorizedOfficialFirstName": "LORI",
"AuthorizedOfficialMiddleName": "JENNINGS-",
"AuthorizedOfficialTitle": "DIRECTOR, DEPARTMENT OF AGING",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "301-475-4200",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA0600X",
"TaxonomyName": "Adult Day Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}