{
"Npi": {
"NPI": "1346485588",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TEAM CARE 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": "212 W JACKSON ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DUBLIN",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "31021-6100",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "478-275-8176",
"MailingAddressFaxNumber": "478-275-8178",
"FirstLinePracticeLocationAddress": "212 W JACKSON ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DUBLIN",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "31021-6100",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "478-275-8176",
"PracticeLocationAddressFaxNumber": "478-275-8178",
"EnumerationDate": "12/02/2008",
"LastUpdateDate": "12/02/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FROST",
"AuthorizedOfficialFirstName": "WILLIAM",
"AuthorizedOfficialMiddleName": "AUSTIN",
"AuthorizedOfficialTitle": "OWNER / MGR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "SR.",
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "478-275-8176",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "087-R-0007",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}