{
"Npi": {
"NPI": "1457156929",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ELARA CARING PCS IA 1, LLC",
"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": "3010 LYNDON B JOHNSON FWY STE 1100",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DALLAS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75234-2712",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "517-768-4373",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1010 N 7TH ST STE A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHARITON",
"PracticeLocationAddressStateName": "IA",
"PracticeLocationAddressPostalCode": "50049-1206",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "641-219-8311",
"PracticeLocationAddressFaxNumber": "641-903-2144",
"EnumerationDate": "02/18/2025",
"LastUpdateDate": "02/18/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MONASTIERE",
"AuthorizedOfficialFirstName": "KATIE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "COMPLIANCE PRIVACY & SAFETY OFFICER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "CHC",
"AuthorizedOfficialTelephoneNumber": "517-768-4373",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}