{
"Npi": {
"NPI": "1457488793",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HEAVENLY BLESSED HOME CARE",
"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": "113 W FIRETOWER RD",
"SecondLineMailingAddress": "SUITE N",
"MailingAddressCityName": "WINTERVILLE",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28590-8414",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "252-353-5595",
"MailingAddressFaxNumber": "252-353-5509",
"FirstLinePracticeLocationAddress": "113 W FIRETOWER RD",
"SecondLinePracticeLocationAddress": "SUITE N",
"PracticeLocationAddressCityName": "WINTERVILLE",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28590-8414",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "252-353-5595",
"PracticeLocationAddressFaxNumber": "252-353-5509",
"EnumerationDate": "02/27/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TUTEN",
"AuthorizedOfficialFirstName": "NATASHU",
"AuthorizedOfficialMiddleName": "HAMILTON",
"AuthorizedOfficialTitle": "AGENCY DIRECTOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "252-353-5595",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "HC3237",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}