{
"Npi": {
"NPI": "1316383839",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "VOLD LLC",
"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": "15612 HIGHWAY 7",
"SecondLineMailingAddress": "SUITE 210",
"MailingAddressCityName": "MINNETONKA",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55345-3543",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "952-955-9880",
"MailingAddressFaxNumber": "888-483-7250",
"FirstLinePracticeLocationAddress": "15612 HIGHWAY 7",
"SecondLinePracticeLocationAddress": "SUITE 210",
"PracticeLocationAddressCityName": "MINNETONKA",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55345-3543",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "952-955-9880",
"PracticeLocationAddressFaxNumber": "888-483-7250",
"EnumerationDate": "05/13/2013",
"LastUpdateDate": "05/13/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VOLD",
"AuthorizedOfficialFirstName": "KALEB",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "952-955-9881",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "HE-01084-04",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}