{
"Npi": {
"NPI": "1144736422",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NEWLINE HOME HEALTH AND PALLIATIVE CARE 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": "827 N LA CADENA DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "COLTON",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92324-2747",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-579-8404",
"MailingAddressFaxNumber": "818-573-6434",
"FirstLinePracticeLocationAddress": "827 N LA CADENA DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "COLTON",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92324-2747",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "909-375-1232",
"PracticeLocationAddressFaxNumber": "909-375-0898",
"EnumerationDate": "12/21/2017",
"LastUpdateDate": "12/20/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OVAKIMYAN",
"AuthorizedOfficialFirstName": "ANDRE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "909-375-1232",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}