{
"Npi": {
"NPI": "1447417597",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "COMPLETE CARE CHOICE",
"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": "1701 S MARKET ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHATTANOOGA",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37408-1813",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "423-752-0605",
"MailingAddressFaxNumber": "423-752-0608",
"FirstLinePracticeLocationAddress": "1701 S MARKET ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHATTANOOGA",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "37408-1813",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "423-752-0605",
"PracticeLocationAddressFaxNumber": "423-752-0608",
"EnumerationDate": "05/16/2008",
"LastUpdateDate": "05/16/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ODEN",
"AuthorizedOfficialFirstName": "KETURA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LPN",
"AuthorizedOfficialTelephoneNumber": "931-381-2841",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}