{
"Npi": {
"NPI": "1174757447",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MIRACLE HOME CARE 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": "4220 CORAL PARK DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BRUNSWICK",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "31520-3016",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "912-264-9242",
"MailingAddressFaxNumber": "912-264-9665",
"FirstLinePracticeLocationAddress": "4220 CORAL PARK DR.",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BRUNSWICK",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "31520",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "912-264-9242",
"PracticeLocationAddressFaxNumber": "921-264-9665",
"EnumerationDate": "05/14/2009",
"LastUpdateDate": "05/14/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HILL",
"AuthorizedOfficialFirstName": "SHASHICKA",
"AuthorizedOfficialMiddleName": "TONSHAY",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "912-264-9242",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "063-R-0013",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}