{
"Npi": {
"NPI": "1235891003",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "ROSE GARDEN HOME CARE LLC",
"ParentOrgTIN": null,
"OrgName": "ROSE GARDEN HEALTH SERVICES",
"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": "5378 SILVER WOODS WALK",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "POWDER SPRINGS",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30127-9073",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "678-549-2323",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "404 NORTHSTAR DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "VILLA RICA",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30180-5560",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "678-538-8087",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/09/2021",
"LastUpdateDate": "10/13/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PATMON",
"AuthorizedOfficialFirstName": "DONSONYA",
"AuthorizedOfficialMiddleName": "CUPRICE",
"AuthorizedOfficialTitle": "BUSINESS PARTNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "678-538-8087",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251J00000X",
"TaxonomyName": "Nursing Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}