{
"Npi": {
"NPI": "1023762648",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ELIXIR HOME HEALTH CARE & HOSPICE, 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": "851 BURLWAY RD",
"SecondLineMailingAddress": "SUITE 216",
"MailingAddressCityName": "BURLINGAME",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94010-1709",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "650-581-1359",
"MailingAddressFaxNumber": "650-581-1187",
"FirstLinePracticeLocationAddress": "1604 FORD AVE",
"SecondLinePracticeLocationAddress": "SUITE 10",
"PracticeLocationAddressCityName": "MODESTO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95350-4631",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "209-369-5110",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/11/2022",
"LastUpdateDate": "09/28/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DELFIN",
"AuthorizedOfficialFirstName": "WARREN",
"AuthorizedOfficialMiddleName": "S",
"AuthorizedOfficialTitle": "CEO/PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "650-201-6025",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}