{
"Npi": {
"NPI": "1164699872",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SHIRLEY'S PERSONAL CARE SERVICES OF LEHIGH ACRES 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": "45 ALABAMA RD N",
"SecondLineMailingAddress": "SUITE # 3",
"MailingAddressCityName": "LEHIGH ACRES",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33936-6829",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "239-303-2422",
"MailingAddressFaxNumber": "239-303-2922",
"FirstLinePracticeLocationAddress": "45 ALABAMA RD N",
"SecondLinePracticeLocationAddress": "SUITE # 3",
"PracticeLocationAddressCityName": "LEHIGH ACRES",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33936-6829",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "239-303-2422",
"PracticeLocationAddressFaxNumber": "239-303-2922",
"EnumerationDate": "05/12/2008",
"LastUpdateDate": "05/12/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WEATHERFORD",
"AuthorizedOfficialFirstName": "LISA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "239-303-2422",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "30211194",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}