{
"Npi": {
"NPI": "1285085571",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AC HOME HEALTH SERVICE, L.L.C.",
"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": "63 DYER WAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MARTINSBURG",
"MailingAddressStateName": "WV",
"MailingAddressPostalCode": "25404-7651",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "240-483-1270",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "17810 MEETING HOUSE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SANDY SPRING",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "20860-1038",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "240-780-2624",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/28/2016",
"LastUpdateDate": "06/28/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FLEMING",
"AuthorizedOfficialFirstName": "CHRISTINE",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "OWNER, CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MBA",
"AuthorizedOfficialTelephoneNumber": "240-483-1270",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}