{
"Npi": {
"NPI": "1245647387",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BLUE SKIES HOME MANAGMENT SERVICES",
"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": "7581 E 26TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "YUMA",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85365-8615",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "928-261-3673",
"MailingAddressFaxNumber": "928-726-5014",
"FirstLinePracticeLocationAddress": "7581 E 26TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "YUMA",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85365-8615",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "928-261-3673",
"PracticeLocationAddressFaxNumber": "928-726-5014",
"EnumerationDate": "07/21/2014",
"LastUpdateDate": "07/21/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ADAIR",
"AuthorizedOfficialFirstName": "LUCY",
"AuthorizedOfficialMiddleName": "OWNER",
"AuthorizedOfficialTitle": "O",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OWNER",
"AuthorizedOfficialTelephoneNumber": "928-246-8990",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "305R00000X",
"TaxonomyName": "Preferred Provider Organization",
"LicenseNumber": "004053052014",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}