{
"Npi": {
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "PDS MANAGEMENT CORP",
"ParentOrgTIN": null,
"OrgName": "RELIANT@HOME LTD",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "9301 S POINTE LASALLES DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BLOOMINGTON",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "47401-9011",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "855-557-6669",
"MailingAddressFaxNumber": "855-557-3291",
"FirstLinePracticeLocationAddress": "341 LOGAN ST STE L110",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NOBLESVILLE",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "46060-1610",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "317-674-8453",
"PracticeLocationAddressFaxNumber": "317-674-8703",
"EnumerationDate": "03/11/2011",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PENTICUFF",
"AuthorizedOfficialFirstName": "SHARI",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "ADMINISTRATOR/DIRECTOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN, BSN",
"AuthorizedOfficialTelephoneNumber": "317-674-8453",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "11-012546-1",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}