{
"Npi": {
"NPI": "1134568611",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GODS APPOINTED TIME PRIVATE HOMECARE",
"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": "2625 CHARLESTOWN DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "COLLEGE PARK",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30337-3943",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "404-707-0527",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2625 CHARLESTOWN DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "COLLEGE PARK",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30337-3943",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "404-707-0527",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/18/2013",
"LastUpdateDate": "06/18/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JONES",
"AuthorizedOfficialFirstName": "KENYA",
"AuthorizedOfficialMiddleName": "YOLONDA",
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": "MISS",
"AuthorizedOfficialNameSuffix": "II",
"AuthorizedOfficialCredential": "MESICAL ASSISTANT",
"AuthorizedOfficialTelephoneNumber": "404-707-0527",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "060-R1066",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}