{
"Npi": {
"NPI": "1104181429",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ALL VITAL HOME HEALTHCARE, INC.",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "8840 CALUMET AVE",
"SecondLineMailingAddress": "102B RM 1",
"MailingAddressCityName": "MUNSTER",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46321-2545",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "219-836-2013",
"MailingAddressFaxNumber": "219-836-2456",
"FirstLinePracticeLocationAddress": "8840 CALUMET AVE",
"SecondLinePracticeLocationAddress": "102B RM 1",
"PracticeLocationAddressCityName": "MUNSTER",
"PracticeLocationAddressStateName": "IN",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "219-836-2013",
"PracticeLocationAddressFaxNumber": "219-836-2456",
"EnumerationDate": "07/12/2012",
"LastUpdateDate": "07/12/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FAROOQI",
"AuthorizedOfficialFirstName": "ASIM",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "SECRETARY",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "219-836-2013",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}