{
"Npi": {
"NPI": "1154699528",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "AMERICA'S NURSING ANGELS HOLDING COMPANY",
"ParentOrgTIN": null,
"OrgName": "AMERICAS NURSING ANGELS HOME HEALTH LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "12230 N 56TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TEMPLE TERRACE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33617-1531",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "813-985-3242",
"MailingAddressFaxNumber": "813-985-3322",
"FirstLinePracticeLocationAddress": "12230 N 56TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TEMPLE TERRACE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33617-1531",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "813-985-3242",
"PracticeLocationAddressFaxNumber": "813-985-3322",
"EnumerationDate": "12/13/2011",
"LastUpdateDate": "10/31/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ESCOTO",
"AuthorizedOfficialFirstName": "ANA",
"AuthorizedOfficialMiddleName": "MERCEDES",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "813-985-3242",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "299994014",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}