{
"Npi": {
"NPI": "1154575470",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CHOICE HOME HEALTH CARE 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": "3235 45TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HIGHLAND",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46322-3284",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "219-924-4888",
"MailingAddressFaxNumber": "219-924-5068",
"FirstLinePracticeLocationAddress": "3235 45TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HIGHLAND",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "46322-3284",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "219-924-4888",
"PracticeLocationAddressFaxNumber": "219-924-5068",
"EnumerationDate": "11/13/2008",
"LastUpdateDate": "11/13/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AMORES",
"AuthorizedOfficialFirstName": "VICTORIA",
"AuthorizedOfficialMiddleName": "G.",
"AuthorizedOfficialTitle": "REGISTERED AGENT",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "219-924-4888",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}