{
"Npi": {
"NPI": "1164581351",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MJR ENTERPRISES, 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": "870 MALLORY PKWY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FRANKLIN",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46131-7733",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "317-736-7144",
"MailingAddressFaxNumber": "317-736-4299",
"FirstLinePracticeLocationAddress": "4 W PEARL ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BATESVILLE",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "47006-1253",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "812-933-9965",
"PracticeLocationAddressFaxNumber": "812-933-9965",
"EnumerationDate": "12/06/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "REMBUSCH",
"AuthorizedOfficialFirstName": "MICHAEL",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "MANAGING MEMBER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "317-736-7144",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "251E00000X",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}