{
"Npi": {
"NPI": "1437414414",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ANGELS CARE HOSPICE, 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": "9612 VAN NUYS BLVD.",
"SecondLineMailingAddress": "SUITE 208",
"MailingAddressCityName": "PANORAMA CITY",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91402-1023",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-453-1158",
"MailingAddressFaxNumber": "818-671-3155",
"FirstLinePracticeLocationAddress": "9612 VAN NUYS BLVD.",
"SecondLinePracticeLocationAddress": "SUITE 208",
"PracticeLocationAddressCityName": "PANORAMA CITY",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91402-1023",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "818-453-1158",
"PracticeLocationAddressFaxNumber": "818-671-3155",
"EnumerationDate": "07/06/2012",
"LastUpdateDate": "12/10/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SABIO",
"AuthorizedOfficialFirstName": "ODETTE",
"AuthorizedOfficialMiddleName": "GUERERRO",
"AuthorizedOfficialTitle": "CEO/OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "818-453-1158",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": "C3482544",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}