{
"Npi": {
"NPI": "1427292309",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HAZEL'S HOME CARE SOLUTIONS",
"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": "707 PIEDMONT ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "REIDSVILLE",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "27320-3623",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "336-349-4887",
"MailingAddressFaxNumber": "336-342-1918",
"FirstLinePracticeLocationAddress": "820 CRUTCHFIELD RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "REIDSVILLE",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "27320-8265",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "336-349-4887",
"PracticeLocationAddressFaxNumber": "336-342-1918",
"EnumerationDate": "04/23/2009",
"LastUpdateDate": "04/23/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CANNON",
"AuthorizedOfficialFirstName": "HAZEL",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "ADMIMISTRATOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "336-342-3031",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA0600X",
"TaxonomyName": "Adult Day Care Clinic/Center",
"LicenseNumber": "FCL 079 074",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}