{
"Npi": {
"NPI": "1205981669",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "STAR HOME HEALTH RESOURCES, 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": "1768 ARROW HWY.",
"SecondLineMailingAddress": "SUITE 105",
"MailingAddressCityName": "LA VERNE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91750-5332",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "909-593-7001",
"MailingAddressFaxNumber": "909-593-7005",
"FirstLinePracticeLocationAddress": "1768 ARROW HWY",
"SecondLinePracticeLocationAddress": "SUITE 105",
"PracticeLocationAddressCityName": "LA VERNE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91750-5332",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "909-593-7001",
"PracticeLocationAddressFaxNumber": "909-593-7005",
"EnumerationDate": "01/24/2007",
"LastUpdateDate": "05/11/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LAT",
"AuthorizedOfficialFirstName": "ERROL",
"AuthorizedOfficialMiddleName": "G.",
"AuthorizedOfficialTitle": "PRESIDENT / CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "909-593-7001",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "980001081",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}