{
"Npi": {
"NPI": "1114184033",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PROFESSIONAL HOME HEALTH SERVICES, 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": "620 FREEDOM BUSINESS CTR DR",
"SecondLineMailingAddress": "SUITE 105",
"MailingAddressCityName": "KING OF PRUSSIA",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19406-1330",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "610-205-2440",
"MailingAddressFaxNumber": "610-205-2468",
"FirstLinePracticeLocationAddress": "21309 BERLIN RD",
"SecondLinePracticeLocationAddress": "SUSSEX SUITES, UNIT 9",
"PracticeLocationAddressCityName": "GEORGETOWN",
"PracticeLocationAddressStateName": "DE",
"PracticeLocationAddressPostalCode": "19947-3185",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "302-855-0310",
"PracticeLocationAddressFaxNumber": "302-855-0840",
"EnumerationDate": "05/19/2008",
"LastUpdateDate": "05/19/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SMITH",
"AuthorizedOfficialFirstName": "CAROL",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "CORP SR DIRECTOR BILLING",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "610-205-2440",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "HHAS 028",
"LicenseNumberStateCode": "DE",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}