{
"Npi": {
"NPI": "1336463306",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PROFESSIONAL HOME HEALTH AGENCY",
"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": "3140 DE LA CRUZ BLVD.",
"SecondLineMailingAddress": "STE. 200",
"MailingAddressCityName": "SANTA CLARA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95054-2406",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "408-855-9200",
"MailingAddressFaxNumber": "408-855-9210",
"FirstLinePracticeLocationAddress": "3140 DE LA CRUZ BLVD STE 200",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SANTA CLARA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95054-2444",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "408-855-9200",
"PracticeLocationAddressFaxNumber": "408-855-9210",
"EnumerationDate": "03/19/2010",
"LastUpdateDate": "04/14/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ARCIAGA",
"AuthorizedOfficialFirstName": "RUTH",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "408-209-6390",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}