{
"Npi": {
"NPI": "1184976060",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BEVERLY'S ANGELS",
"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": "201 W 8TH ST STE 206",
"SecondLineMailingAddress": "PO BOX 5011",
"MailingAddressCityName": "PARIS",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "40361-1372",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "859-987-0077",
"MailingAddressFaxNumber": "859-987-2279",
"FirstLinePracticeLocationAddress": "201 W 8TH ST",
"SecondLinePracticeLocationAddress": "SUITE 206",
"PracticeLocationAddressCityName": "PARIS",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "40361-1371",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "859-987-0077",
"PracticeLocationAddressFaxNumber": "859-987-2279",
"EnumerationDate": "10/03/2012",
"LastUpdateDate": "10/03/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PEARCE",
"AuthorizedOfficialFirstName": "STEVEN",
"AuthorizedOfficialMiddleName": "HUNTER",
"AuthorizedOfficialTitle": "OWNER/MANAGER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "859-987-0077",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": "500040",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}