{
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"FirstLineMailingAddress": "18565 FOREST AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EASTPOINTE",
"MailingAddressStateName": "MI",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "586-933-8032",
"MailingAddressFaxNumber": "586-300-1200",
"FirstLinePracticeLocationAddress": "18565 FOREST AVE",
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"PracticeLocationAddressCityName": "EASTPOINTE",
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"PracticeLocationAddressTelephoneNumber": "586-571-4343",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/13/2022",
"LastUpdateDate": "04/05/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HUDSON",
"AuthorizedOfficialFirstName": "TIFFANY",
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"AuthorizedOfficialTitle": "DIRECT OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "586-933-8032",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}