{
"Npi": {
"NPI": "1023901147",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "STAY GRACEFUL NEBRASKA 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": "PO BOX 9743",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RAPID CITY",
"MailingAddressStateName": "SD",
"MailingAddressPostalCode": "57709-9743",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "605-519-3156",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "8424 W CENTER RD STE 218",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OMAHA",
"PracticeLocationAddressStateName": "NE",
"PracticeLocationAddressPostalCode": "68124-3138",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "402-998-5238",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/29/2025",
"LastUpdateDate": "05/29/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WHITCHER",
"AuthorizedOfficialFirstName": "ERIC",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "VICE PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "605-519-3156",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}