{
"Npi": {
"NPI": "1477858223",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "COMPASSIONATE HOME CARE AGENCY",
"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": "3101 WOODHAVEN RD",
"SecondLineMailingAddress": "APT. N-4",
"MailingAddressCityName": "PHILADELPHIA",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19154-1743",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "215-758-7136",
"MailingAddressFaxNumber": "267-914-4549",
"FirstLinePracticeLocationAddress": "1723 WOODBOURNE RD",
"SecondLinePracticeLocationAddress": "SUITE B220",
"PracticeLocationAddressCityName": "LEVITTOWN",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19057-1510",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "215-543-7004",
"PracticeLocationAddressFaxNumber": "267-914-4549",
"EnumerationDate": "01/25/2011",
"LastUpdateDate": "01/25/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KOLLEH",
"AuthorizedOfficialFirstName": "GORMAH",
"AuthorizedOfficialMiddleName": "PINKY",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MISS",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "215-758-7136",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}