{
"Npi": {
"NPI": "1033383377",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "KNM HOME HEALTH CARE AGENCY, 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": "PO BOX 484",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LUMBERTON",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08048-0484",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "609-265-1000",
"MailingAddressFaxNumber": "609-265-9976",
"FirstLinePracticeLocationAddress": "14 COTTONWOOD DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LUMBERTON",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08048-5240",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "609-265-1000",
"PracticeLocationAddressFaxNumber": "609-265-9976",
"EnumerationDate": "04/17/2008",
"LastUpdateDate": "04/20/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OGLESBY",
"AuthorizedOfficialFirstName": "ALISA",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "VICE PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "609-265-1000",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "HP0068700",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}