{
"Npi": {
"NPI": "1467692400",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOME HEALTH ANGELS 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": "117 N MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WINCHESTER",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "47394-1624",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "765-584-3267",
"MailingAddressFaxNumber": "800-339-3139",
"FirstLinePracticeLocationAddress": "117 N MAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WINCHESTER",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "47394-1624",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "765-584-3267",
"PracticeLocationAddressFaxNumber": "800-339-3139",
"EnumerationDate": "03/04/2009",
"LastUpdateDate": "05/11/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MYERS",
"AuthorizedOfficialFirstName": "HEATHER",
"AuthorizedOfficialMiddleName": "RENEE",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "765-546-2136",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "09-012094-1",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}