{
"Npi": {
"NPI": "1396413530",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PERSONALIZED HOME HEALTH CARE SERVICES, 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": "142 WESTWOOD DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DANVILLE",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "24541-5223",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "434-770-9531",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "142 WESTWOOD DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DANVILLE",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "24541-5223",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "434-770-9531",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/02/2021",
"LastUpdateDate": "09/02/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HAIRSTON",
"AuthorizedOfficialFirstName": "TANGELA",
"AuthorizedOfficialMiddleName": "STEPHANIE",
"AuthorizedOfficialTitle": "OWNER OPERATOR/MSN, APRN, FNP-BC",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MSN, APRN, FNP-BC",
"AuthorizedOfficialTelephoneNumber": "434-770-9531",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}