{
"Npi": {
"NPI": "1073892782",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "DESOTO HOME HEALTH CARE INC.",
"ParentOrgTIN": null,
"OrgName": "DESOTO HOME HEALTH CARE 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": "3975 US 27 S",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SEBRING",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33870-5512",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "863-382-2606",
"MailingAddressFaxNumber": "863-382-3969",
"FirstLinePracticeLocationAddress": "3975 US 27 S",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SEBRING",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33870-5512",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "863-382-2606",
"PracticeLocationAddressFaxNumber": "863-382-3969",
"EnumerationDate": "08/11/2011",
"LastUpdateDate": "10/29/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GRAHAM",
"AuthorizedOfficialFirstName": "DANIEL",
"AuthorizedOfficialMiddleName": "ASHLEY",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "863-382-2606",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "332BX2000X",
"TaxonomyName": "Oxygen Equipment & Supplies (DME)",
"LicenseNumber": "32-6855",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "1313719",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}