{
"Npi": {
"NPI": "1396122206",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MILESTONE HOME HEALTH CARE LLC",
"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": "2301 TRIVACA CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NOLENSVILLE",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37135-5033",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "615-547-2288",
"MailingAddressFaxNumber": "615-776-1451",
"FirstLinePracticeLocationAddress": "2301 TRIVACA CT",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NOLENSVILLE",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "37135-5033",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "615-547-2288",
"PracticeLocationAddressFaxNumber": "615-776-1451",
"EnumerationDate": "04/29/2015",
"LastUpdateDate": "04/29/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WHITE",
"AuthorizedOfficialFirstName": "LAKISHA",
"AuthorizedOfficialMiddleName": "T",
"AuthorizedOfficialTitle": "CHIEF OPERATING OFFICER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "R.N, BSN",
"AuthorizedOfficialTelephoneNumber": "615-547-2288",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "I000000016243",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}