{
"Npi": {
"NPI": "1386188209",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NURSE CARE REGISTRY",
"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": "837 NE 20TH AVE",
"SecondLineMailingAddress": "SUITE 102",
"MailingAddressCityName": "FORT LAUDERDALE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33304-3035",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "754-701-5225",
"MailingAddressFaxNumber": "754-701-5231",
"FirstLinePracticeLocationAddress": "837 NE 20TH AVE",
"SecondLinePracticeLocationAddress": "SUITE 102",
"PracticeLocationAddressCityName": "FORT LAUDERDALE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33304-3035",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "754-701-5225",
"PracticeLocationAddressFaxNumber": "754-701-5231",
"EnumerationDate": "12/12/2016",
"LastUpdateDate": "12/12/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DANYLUK",
"AuthorizedOfficialFirstName": "BRADLEY",
"AuthorizedOfficialMiddleName": "THOMAS",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "754-701-5225",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "IN PROCESS",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}