{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "SMYRNA ENTERPRISES, INC",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"FirstLineMailingAddress": "518 VALENCIA ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAS VEGAS",
"MailingAddressStateName": "NM",
"MailingAddressPostalCode": "87701-3716",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "505-425-3880",
"MailingAddressFaxNumber": "505-425-2929",
"FirstLinePracticeLocationAddress": "518 VALENCIA ST",
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"PracticeLocationAddressCityName": "LAS VEGAS",
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"PracticeLocationAddressTelephoneNumber": "505-425-3880",
"PracticeLocationAddressFaxNumber": "505-425-2929",
"EnumerationDate": "10/20/2006",
"LastUpdateDate": "10/10/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SMITH",
"AuthorizedOfficialFirstName": "JUSTIN",
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"AuthorizedOfficialCredential": "OWNER",
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"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
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"PrimaryTaxonomySwitch": "N"
},
{
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},
{
"TaxonomyCode": "251G00000X",
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"LicenseNumber": "3209",
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"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}