{
"Npi": {
"NPI": "1457620163",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ACADEMY FOR SPEECH AND LANGUAGE AT HOME 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": "6701 SANGER AVE",
"SecondLineMailingAddress": "STE. 102",
"MailingAddressCityName": "WACO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76710-7736",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "254-207-0301",
"MailingAddressFaxNumber": "254-207-0298",
"FirstLinePracticeLocationAddress": "6701 SANGER AVE",
"SecondLinePracticeLocationAddress": "STE. 102",
"PracticeLocationAddressCityName": "WACO",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76710-7736",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "254-207-0301",
"PracticeLocationAddressFaxNumber": "254-207-0298",
"EnumerationDate": "12/26/2011",
"LastUpdateDate": "12/26/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COLE",
"AuthorizedOfficialFirstName": "LAURI",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "254-207-0301",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}