{
"Npi": {
"NPI": "1285867622",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DJC HOME HEALTHCARE 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": "P. O. BOX 307",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ODENTON",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21113-1207",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "410-672-8906",
"MailingAddressFaxNumber": "410-672-8908",
"FirstLinePracticeLocationAddress": "1413 ANNAPOLIS RD",
"SecondLinePracticeLocationAddress": "SUITE 106",
"PracticeLocationAddressCityName": "ODENTON",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21113-1216",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "410-672-8906",
"PracticeLocationAddressFaxNumber": "410-672-8908",
"EnumerationDate": "09/02/2009",
"LastUpdateDate": "09/02/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "POPE",
"AuthorizedOfficialFirstName": "BRENDA",
"AuthorizedOfficialMiddleName": "DENISE",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MT(ASCP)",
"AuthorizedOfficialTelephoneNumber": "410-672-8906",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "R2782",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}