{
"Npi": {
"NPI": "1205985132",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ALL COAST THERAPY SERVICES, 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": "13940 N US HIGHWAY 441",
"SecondLineMailingAddress": "BUILDING 600, SUITE 603",
"MailingAddressCityName": "LADY LAKE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32159-8953",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "352-751-1095",
"MailingAddressFaxNumber": "352-751-1097",
"FirstLinePracticeLocationAddress": "13940 N US HIGHWAY 441",
"SecondLinePracticeLocationAddress": "BUILDING 600 SUITE 603",
"PracticeLocationAddressCityName": "LADY LAKE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32159-8953",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "352-751-1095",
"PracticeLocationAddressFaxNumber": "352-751-1097",
"EnumerationDate": "01/09/2007",
"LastUpdateDate": "12/29/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCOTT",
"AuthorizedOfficialFirstName": "BEULAH",
"AuthorizedOfficialMiddleName": "E.K.",
"AuthorizedOfficialTitle": "VICE PRESIDENT",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.T.",
"AuthorizedOfficialTelephoneNumber": "352-751-1095",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "299992295",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}