{
"Npi": {
"NPI": "1407071897",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "RANDOLPH COMMUNITY SERVICES",
"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": "PO BOX 1883",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ASHEBORO",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "27204-1883",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "336-629-5141",
"MailingAddressFaxNumber": "336-629-1290",
"FirstLinePracticeLocationAddress": "221 S FAYETTEVILLE ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ASHEBORO",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "27203-5724",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "336-629-5141",
"PracticeLocationAddressFaxNumber": "336-629-1290",
"EnumerationDate": "04/13/2007",
"LastUpdateDate": "06/17/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCARBOROUGH",
"AuthorizedOfficialFirstName": "JANICE",
"AuthorizedOfficialMiddleName": "S.",
"AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "336-629-5141",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "HC0130",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}