{
"Npi": {
"NPI": "1407212012",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SHIRLEY & NAOMI PRIVATE HOME CARE SERVICES & TRANSPORTATION",
"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": "3723 ARMINTO DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ELLENWOOD",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30294-6663",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "404-226-8541",
"MailingAddressFaxNumber": "770-389-8554",
"FirstLinePracticeLocationAddress": "3723 ARMINTO DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ELLENWOOD",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30294-6663",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "404-226-8541",
"PracticeLocationAddressFaxNumber": "770-389-8554",
"EnumerationDate": "01/12/2016",
"LastUpdateDate": "01/12/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PARRIS-LEUNG",
"AuthorizedOfficialFirstName": "JOAN",
"AuthorizedOfficialMiddleName": "CHERRYL",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LPN",
"AuthorizedOfficialTelephoneNumber": "404-226-8541",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": "031-R-1524",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}