{
"Npi": {
"NPI": "1275255028",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FAVORED BY GOD HOME CARE ORG 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": "924 N STATE ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HEMET",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92543-1473",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "951-658-0700",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "924 N STATE ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HEMET",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92543-1473",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "951-658-0700",
"PracticeLocationAddressFaxNumber": "951-658-0090",
"EnumerationDate": "09/16/2022",
"LastUpdateDate": "09/16/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WILBURN",
"AuthorizedOfficialFirstName": "CYNTHIA",
"AuthorizedOfficialMiddleName": "D",
"AuthorizedOfficialTitle": "DIRECTOR/OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "909-714-9549",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}