{
"Npi": {
"NPI": "1245277144",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MINISTRY HOME CARE LLC",
"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": "303 W UPHAM ST STE 208",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MARSHFIELD",
"MailingAddressStateName": "WI",
"MailingAddressPostalCode": "54449-1483",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "715-301-7260",
"MailingAddressFaxNumber": "844-887-0042",
"FirstLinePracticeLocationAddress": "303 W UPHAM ST",
"SecondLinePracticeLocationAddress": "SUITE 208",
"PracticeLocationAddressCityName": "MARSHFIELD",
"PracticeLocationAddressStateName": "WI",
"PracticeLocationAddressPostalCode": "54449-1483",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "715-301-7260",
"PracticeLocationAddressFaxNumber": "844-887-0042",
"EnumerationDate": "05/31/2006",
"LastUpdateDate": "09/14/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ADKINS",
"AuthorizedOfficialFirstName": "RUSSELL",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "SVP CHIEF LEGAL OFFICER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "615-309-5668",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "182",
"LicenseNumberStateCode": "WI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}