{
"Npi": {
"NPI": "1366731523",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TLC HOME CARE SERVICES OF CENTRAL FL INC",
"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": "238 WILSHIRE BLVD",
"SecondLineMailingAddress": "SUITE 155",
"MailingAddressCityName": "CASSELBERRY",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32707",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "321-972-4067",
"MailingAddressFaxNumber": "407-386-3056",
"FirstLinePracticeLocationAddress": "101 TIMBERLACHEN CIR",
"SecondLinePracticeLocationAddress": "SUITE 102",
"PracticeLocationAddressCityName": "LAKE MARY",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32746-6124",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "407-878-1296",
"PracticeLocationAddressFaxNumber": "407-386-3056",
"EnumerationDate": "03/28/2011",
"LastUpdateDate": "02/20/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SERRA",
"AuthorizedOfficialFirstName": "JAZMIN",
"AuthorizedOfficialMiddleName": "FLOR",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "407-618-9949",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "299993783",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}