{
"Npi": {
"NPI": "1295991214",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CARDIOCARE HOME HEALTH",
"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": "235 N BURNS AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "VALLEY CENTER",
"MailingAddressStateName": "KS",
"MailingAddressPostalCode": "67147-2326",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "316-558-1999",
"MailingAddressFaxNumber": "817-886-8715",
"FirstLinePracticeLocationAddress": "235 N BURNS AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "VALLEY CENTER",
"PracticeLocationAddressStateName": "KS",
"PracticeLocationAddressPostalCode": "67147-2326",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "316-558-1999",
"PracticeLocationAddressFaxNumber": "817-886-8715",
"EnumerationDate": "07/29/2008",
"LastUpdateDate": "07/29/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "YARNELL",
"AuthorizedOfficialFirstName": "TYSON",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN, COS-C",
"AuthorizedOfficialTelephoneNumber": "316-558-1999",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "1490331041",
"LicenseNumberStateCode": "KS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}