{
"Npi": {
"NPI": "1306073093",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "SISTERS OF THE ORDER OF ST. BENEDICT",
"ParentOrgTIN": null,
"OrgName": "SISTERS OF THE ORDER OF ST. BENEDICT",
"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": "104 CHAPEL LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAINT JOSEPH",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "56374-2020",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "320-363-7100",
"MailingAddressFaxNumber": "320-363-7130",
"FirstLinePracticeLocationAddress": "1845 20TH AVE SE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SAINT CLOUD",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "56304-4612",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "320-251-2225",
"PracticeLocationAddressFaxNumber": "320-251-1455",
"EnumerationDate": "06/19/2009",
"LastUpdateDate": "06/19/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HENNES",
"AuthorizedOfficialFirstName": "KARA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "TREASURER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "320-363-7005",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}