{
"Npi": {
"NPI": "1063831881",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SUNRISE SIDE HOME HEALTHCARE AGENCY, 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": "4083 DENISE CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OSCODA",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48750-1062",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "888-958-2384",
"MailingAddressFaxNumber": "888-959-2334",
"FirstLinePracticeLocationAddress": "4083 DENISE CT",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OSCODA",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48750-1062",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "888-958-2384",
"PracticeLocationAddressFaxNumber": "888-959-2334",
"EnumerationDate": "04/09/2014",
"LastUpdateDate": "04/09/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COLORITE",
"AuthorizedOfficialFirstName": "BRIAN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "888-958-2384",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}