{
"Npi": {
"NPI": "1184151391",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CHERY HEALTH CARE MULTI SERVICES",
"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": "PO BOX 7043",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORTH PORT",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34290-0043",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "941-777-3631",
"MailingAddressFaxNumber": "941-227-1739",
"FirstLinePracticeLocationAddress": "1739 QUEEN PALM WAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORTH PORT",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34288-8656",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "941-777-3631",
"PracticeLocationAddressFaxNumber": "941-227-1739",
"EnumerationDate": "05/18/2017",
"LastUpdateDate": "06/20/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHERY",
"AuthorizedOfficialFirstName": "BERNARD",
"AuthorizedOfficialMiddleName": "V",
"AuthorizedOfficialTitle": "VP",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "941-447-1401",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "253J00000X",
"TaxonomyName": "Foster Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "343900000X",
"TaxonomyName": "Non-emergency Medical Transport (VAN)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}