{
"Npi": {
"NPI": "1366240400",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CHAPTERS HEALTH HOSPICE, 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": "12470 TELECOM DR STE 301",
"SecondLineMailingAddress": "ATTN: LEGAL SERVICES",
"MailingAddressCityName": "TEMPLE TERRACE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33637-0904",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "813-871-8075",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "10330 STAPLES MILL RD STE 204",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GLEN ALLEN",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "23060-3251",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "804-603-9610",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/05/2025",
"LastUpdateDate": "07/28/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BUCCIARELLI",
"AuthorizedOfficialFirstName": "CRYSTAL",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "VP, LEGAL SERVICES",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "813-871-8075",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}