{
"Npi": {
"NPI": "1174545032",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "QUALITYCARE HEALTHCARE STAFFING",
"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": "1201 NEW RD",
"SecondLineMailingAddress": "SIUTE 202A",
"MailingAddressCityName": "LINWOOD",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08221-1150",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "609-601-6700",
"MailingAddressFaxNumber": "609-601-6710",
"FirstLinePracticeLocationAddress": "1201 NEW RD",
"SecondLinePracticeLocationAddress": "SIUTE 202A",
"PracticeLocationAddressCityName": "LINWOOD",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08221-1150",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "609-601-6700",
"PracticeLocationAddressFaxNumber": "609-601-6710",
"EnumerationDate": "07/23/2006",
"LastUpdateDate": "10/30/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WORRELL",
"AuthorizedOfficialFirstName": "MARK",
"AuthorizedOfficialMiddleName": "D",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "R.N",
"AuthorizedOfficialTelephoneNumber": "609-601-6700",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "HP0078600",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}