{
"Npi": {
"NPI": "1427311208",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ALLEGIANCE HOME CARE SERVICES, INC",
"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": "11832 CANON BLVD STE E",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEWPORT NEWS",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "23606-2580",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "757-325-2680",
"MailingAddressFaxNumber": "757-265-0364",
"FirstLinePracticeLocationAddress": "11832 CANON BLVD STE E",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEWPORT NEWS",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "23606-2580",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "757-325-2680",
"PracticeLocationAddressFaxNumber": "757-265-0364",
"EnumerationDate": "06/18/2012",
"LastUpdateDate": "12/21/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EVERETT",
"AuthorizedOfficialFirstName": "SHEILA",
"AuthorizedOfficialMiddleName": "W",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "757-325-2680",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "251J00000X",
"TaxonomyName": "Nursing Care Agency",
"LicenseNumber": "0001157536",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}