{
"Npi": {
"NPI": "1043353196",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "VITAS HEALTHCARE CORPORATION CALIFORNIA",
"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": "100 S BISCAYNE BLVD",
"SecondLineMailingAddress": "SUITE 1500",
"MailingAddressCityName": "MIAMI",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33131-2011",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "305-374-4143",
"MailingAddressFaxNumber": "305-350-6784",
"FirstLinePracticeLocationAddress": "3700 LAKEVILLE HWY",
"SecondLinePracticeLocationAddress": "SUITE 205",
"PracticeLocationAddressCityName": "PETALUMA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "94954-5671",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "707-787-2200",
"PracticeLocationAddressFaxNumber": "707-787-2250",
"EnumerationDate": "02/15/2007",
"LastUpdateDate": "07/23/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LAWE",
"AuthorizedOfficialFirstName": "DEIRDRE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "EXECUTIVE VICE PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "305-350-6925",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": "100000781",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}