{
"Npi": {
"NPI": "1235184375",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CORNERSTONE HOME HEALTH OF NORTH EAST OHIO",
"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": "2655 WEST NATIONAL ROAD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SPRINGFIELD",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "45504",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "937-325-1531",
"MailingAddressFaxNumber": "937-525-8317",
"FirstLinePracticeLocationAddress": "8170 SOUTH AVE",
"SecondLinePracticeLocationAddress": "SUITE #4",
"PracticeLocationAddressCityName": "BOARDMAN",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44512",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "330-782-8850",
"PracticeLocationAddressFaxNumber": "330-782-8860",
"EnumerationDate": "05/24/2006",
"LastUpdateDate": "03/18/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "UPDEGRAFF",
"AuthorizedOfficialFirstName": "JESSICA",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "614-357-4111",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "NONE REQUIRED",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}