{
"Npi": {
"NPI": "1124574538",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CONTINUUM CARE HOME HEALTH 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": "4031 ESTATE LA GRANDE PRINCESSE, SUITE 36",
"SecondLineMailingAddress": "FIVE CORNERS PLAZA",
"MailingAddressCityName": "CHRISTIANSTED",
"MailingAddressStateName": "VI",
"MailingAddressPostalCode": "00820-0000",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "340-718-5683",
"MailingAddressFaxNumber": "340-718-7632",
"FirstLinePracticeLocationAddress": "4031 ESTATE LA GRANDE PRINCESSE STE 36",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHRISTIANSTED",
"PracticeLocationAddressStateName": "VI",
"PracticeLocationAddressPostalCode": "00820-5213",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "340-718-5683",
"PracticeLocationAddressFaxNumber": "340-718-7632",
"EnumerationDate": "08/27/2016",
"LastUpdateDate": "01/16/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SANDERS",
"AuthorizedOfficialFirstName": "MARY",
"AuthorizedOfficialMiddleName": "T",
"AuthorizedOfficialTitle": "MANAGING DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN MN CNS",
"AuthorizedOfficialTelephoneNumber": "340-718-5683",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3747A0650X",
"TaxonomyName": "Attendant Care Provider",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "2-35455-1L",
"LicenseNumberStateCode": "VI",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}