{
"Npi": {
"NPI": "1245321751",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LAVANDA HOME HEALTH CARE AGENCY 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": "2501 W BURBANK BLVD",
"SecondLineMailingAddress": "SUITE 312",
"MailingAddressCityName": "BURBANK",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91505-2347",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-840-0003",
"MailingAddressFaxNumber": "818-840-0069",
"FirstLinePracticeLocationAddress": "11490 BURBANK BLVD",
"SecondLinePracticeLocationAddress": "#3E",
"PracticeLocationAddressCityName": "NORTH HOLLYWOOD",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91601-2389",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "818-760-9656",
"PracticeLocationAddressFaxNumber": "818-760-9635",
"EnumerationDate": "09/28/2006",
"LastUpdateDate": "01/25/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JULIAN",
"AuthorizedOfficialFirstName": "NATHAN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "818-840-0003",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "980001555",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}