{
"Npi": {
"NPI": "1396078408",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOME HEALTH CARE SERVICES 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": "100 TIMBER RIDGE WAY NW",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ISSAQUAH",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98027-8890",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "425-557-4964",
"MailingAddressFaxNumber": "425-557-4946",
"FirstLinePracticeLocationAddress": "800 NW 17TH AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DELRAY BEACH",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33445-2581",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "561-272-5866",
"PracticeLocationAddressFaxNumber": "561-243-3733",
"EnumerationDate": "09/09/2009",
"LastUpdateDate": "09/09/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EYER",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "W",
"AuthorizedOfficialTitle": "SENIOR DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "561-272-5866",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "IHS.FS.60001426",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}