{
"Npi": {
"NPI": "1346488624",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MRM ENTERPRISES, 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": "410 N DILLARD ST",
"SecondLineMailingAddress": "SUITE 102",
"MailingAddressCityName": "WINTER GARDEN",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34787-2853",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "407-877-0720",
"MailingAddressFaxNumber": "407-386-3210",
"FirstLinePracticeLocationAddress": "410 N DILLARD ST",
"SecondLinePracticeLocationAddress": "SUITE 102",
"PracticeLocationAddressCityName": "WINTER GARDEN",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34787-2853",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "407-877-0720",
"PracticeLocationAddressFaxNumber": "407-386-3210",
"EnumerationDate": "01/26/2009",
"LastUpdateDate": "05/14/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GUERRA",
"AuthorizedOfficialFirstName": "RAOUL",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "AGENCY DIRECTOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "407-877-0720",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}