{
"Npi": {
"NPI": "1174250716",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SHORTER ENTERPRISES, INC.",
"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": "1200 WOODRUFF RD",
"SecondLineMailingAddress": "BLDG A3 STE 194",
"MailingAddressCityName": "GREENVILLE",
"MailingAddressStateName": "SC",
"MailingAddressPostalCode": "29607",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "864-203-0500",
"MailingAddressFaxNumber": "864-203-0888",
"FirstLinePracticeLocationAddress": "1200 WOODRUFF RD",
"SecondLinePracticeLocationAddress": "BLDG A3 STE 194",
"PracticeLocationAddressCityName": "GREENVILLE",
"PracticeLocationAddressStateName": "SC",
"PracticeLocationAddressPostalCode": "29607",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "864-203-0500",
"PracticeLocationAddressFaxNumber": "864-203-0888",
"EnumerationDate": "08/03/2022",
"LastUpdateDate": "12/11/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHORTER",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": "OWEN",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "225-235-3773",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}