{
"Npi": {
"NPI": "1336311950",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "EXECUTIVE HEALTHCARE SOLUTIONS",
"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": "8891 BRIGHTON LANE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BONITA SPRINGS",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34135",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "239-992-4779",
"MailingAddressFaxNumber": "239-992-4764",
"FirstLinePracticeLocationAddress": "8891 BRIGHTON LANE",
"SecondLinePracticeLocationAddress": "SUITE 122",
"PracticeLocationAddressCityName": "BONITA SPRINGS",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34135",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "239-992-4779",
"PracticeLocationAddressFaxNumber": "239-992-4764",
"EnumerationDate": "03/25/2008",
"LastUpdateDate": "03/25/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BOTSKO",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "MHA, FACHE",
"AuthorizedOfficialTelephoneNumber": "239-348-5601",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}