{
"Npi": {
"NPI": "1306479035",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NURSE CARE 2 GO LLC",
"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": "144 KATI CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GILBERTSVILLE",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19525-8000",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "484-620-5629",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "555 SECOND AVE STE C-600",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "COLLEGEVILLE",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19426-3672",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "484-973-6185",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/21/2020",
"LastUpdateDate": "11/28/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CARTER",
"AuthorizedOfficialFirstName": "SYREETA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "484-620-5629",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}