{
"Npi": {
"NPI": "1063420198",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ADARA HOME HEALTH, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "25 1ST AVE NE STE 200",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BUFFALO",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55313-1597",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "763-682-0665",
"MailingAddressFaxNumber": "763-682-6543",
"FirstLinePracticeLocationAddress": "25 1ST AVE NE STE 200",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BUFFALO",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55313-1597",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "763-682-0665",
"PracticeLocationAddressFaxNumber": "763-682-6543",
"EnumerationDate": "08/04/2006",
"LastUpdateDate": "01/24/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FIGGE",
"AuthorizedOfficialFirstName": "AUSTIN",
"AuthorizedOfficialMiddleName": "RONALD",
"AuthorizedOfficialTitle": "CIO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "763-682-0665",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "330685",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}