{
"Npi": {
"NPI": "1336295310",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "HOSPARUS INC.",
"ParentOrgTIN": null,
"OrgName": "HOSPARUS INC.",
"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": "6200 DUTCHMANS LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LOUISVILLE",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "40205-3271",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "502-456-6200",
"MailingAddressFaxNumber": "502-456-6275",
"FirstLinePracticeLocationAddress": "502 HAUSFELDT LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEW ALBANY",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "47150-2221",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "2-640-5218",
"PracticeLocationAddressFaxNumber": "24-566-6555",
"EnumerationDate": "01/25/2007",
"LastUpdateDate": "02/26/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FIELDHOUSE",
"AuthorizedOfficialFirstName": "LYNN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CHIEF LEGAL COUNSEL",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "JC, CHC SRNA",
"AuthorizedOfficialTelephoneNumber": "502-727-9739",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": "07-005121-1",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}