{
"Npi": {
"NPI": "1124641709",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ANGELIC HANDS HOUSE CALLS",
"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": "PO BOX 165",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CANTON",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39046-0165",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "601-906-0130",
"MailingAddressFaxNumber": "601-667-3508",
"FirstLinePracticeLocationAddress": "299 W PEACE ST STE B",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CANTON",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "39046-4325",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "601-906-0130",
"PracticeLocationAddressFaxNumber": "601-667-3508",
"EnumerationDate": "05/18/2020",
"LastUpdateDate": "05/18/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JONES STEWART",
"AuthorizedOfficialFirstName": "ANGELA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "FAMILY NURSE PRACTITIONER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "FNPC",
"AuthorizedOfficialTelephoneNumber": "601-906-0130",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}