{
"Npi": {
"NPI": "1235675059",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOME CARE SPECIALITY LLC",
"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": "901 TWELVE OAKS CENTER DR STE 914",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WAYZATA",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55391-4710",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "763-302-9930",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "901 TWELVE OAKS CENTER DR",
"SecondLinePracticeLocationAddress": "# 914",
"PracticeLocationAddressCityName": "WAYZATA",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55391-4701",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "763-302-9930",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/18/2017",
"LastUpdateDate": "03/13/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ONYAMBU",
"AuthorizedOfficialFirstName": "PAMELLA",
"AuthorizedOfficialMiddleName": "BWARI",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "763-302-9930",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "379624",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}