{
"Npi": {
"NPI": "1043200652",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SOUTHERN MARYLAND HOME HEALTH SERVICES 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": "10403 HOSPITAL DR",
"SecondLineMailingAddress": "SUITE G-09",
"MailingAddressCityName": "CLINTON",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20735-3134",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "301-856-3192",
"MailingAddressFaxNumber": "301-856-0538",
"FirstLinePracticeLocationAddress": "10403 HOSPITAL DR",
"SecondLinePracticeLocationAddress": "SUITE G-09",
"PracticeLocationAddressCityName": "CLINTON",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "20735-3134",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "301-856-3192",
"PracticeLocationAddressFaxNumber": "301-856-0538",
"EnumerationDate": "10/25/2005",
"LastUpdateDate": "07/21/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JENKINS",
"AuthorizedOfficialFirstName": "JEFFREY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "R.N.",
"AuthorizedOfficialTelephoneNumber": "301-856-3192",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "HH7077",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}