{
"Npi": {
"NPI": "1083927735",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SAINT PAUL'S NURSING CARE, LLC",
"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": "7100 MUNCASTER MILL RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DERWOOD",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20855-1213",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "240-476-5756",
"MailingAddressFaxNumber": "240-477-4244",
"FirstLinePracticeLocationAddress": "7100 MUNCASTER MILL RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DERWOOD",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "20855-1213",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "240-476-5756",
"PracticeLocationAddressFaxNumber": "240-477-4244",
"EnumerationDate": "07/23/2010",
"LastUpdateDate": "07/23/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ACKAH",
"AuthorizedOfficialFirstName": "PAUL",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO/PRESIDENT/OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "240-476-5756",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251J00000X",
"TaxonomyName": "Nursing Care Agency",
"LicenseNumber": "R2933P",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}