{
"Npi": {
"NPI": "1073754875",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SUPERIOR NURSING SERVICES, LLC",
"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": "21705 WHIRLAWAY AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PARKER",
"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "80138-3059",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "303-980-0015",
"MailingAddressFaxNumber": "720-542-3193",
"FirstLinePracticeLocationAddress": "21705 WHIRLAWAY AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PARKER",
"PracticeLocationAddressStateName": "CO",
"PracticeLocationAddressPostalCode": "80138-3059",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "303-980-0015",
"PracticeLocationAddressFaxNumber": "720-542-3193",
"EnumerationDate": "03/09/2009",
"LastUpdateDate": "03/09/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LEE",
"AuthorizedOfficialFirstName": "RICHARD",
"AuthorizedOfficialMiddleName": "B",
"AuthorizedOfficialTitle": "RN/SOLE PROPRIETOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "303-980-0015",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251J00000X",
"TaxonomyName": "Nursing Care Agency",
"LicenseNumber": "140522",
"LicenseNumberStateCode": "CO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}