{
"Npi": {
"NPI": "1184705048",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AM HEALTH CARE SERVICES, 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": "PO BOX 429",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "POLLOCKSVILLE",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28573-0429",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "252-224-0112",
"MailingAddressFaxNumber": "252-224-1076",
"FirstLinePracticeLocationAddress": "1890 US HWY 17 SOUTH",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "POLLOCKSVILLE",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28573-9782",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "252-224-0112",
"PracticeLocationAddressFaxNumber": "252-224-1076",
"EnumerationDate": "10/18/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MILLER",
"AuthorizedOfficialFirstName": "ZACHARY",
"AuthorizedOfficialMiddleName": "BLUE",
"AuthorizedOfficialTitle": "SECRETARY",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "919-460-1112",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "NH0508",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}