{
"Npi": {
"NPI": "1023358215",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SERENITY HOME HEALTH, 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": "5618 STATE ROUTE 7",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ANDOVER",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44003-9776",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "440-689-0698",
"MailingAddressFaxNumber": "440-689-0697",
"FirstLinePracticeLocationAddress": "5618 STATE ROUTE 7",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ANDOVER",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44003-9776",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "440-689-0698",
"PracticeLocationAddressFaxNumber": "440-689-0697",
"EnumerationDate": "02/25/2013",
"LastUpdateDate": "03/10/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FARMER",
"AuthorizedOfficialFirstName": "AMANDA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "R.N.",
"AuthorizedOfficialTelephoneNumber": "440-855-2681",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "2164240",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}