{
"Npi": {
"NPI": "1477936367",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TRILOGY HOME HEALTH VENTURE LLC - RIGHT AT HOME - CENTRAL MICHIGAN",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "734 W GRAND RIVER AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BRIGHTON",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48116-2392",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "810-225-4724",
"MailingAddressFaxNumber": "810-225-6014",
"FirstLinePracticeLocationAddress": "734 W GRAND RIVER AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BRIGHTON",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48116-2392",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "810-225-4724",
"PracticeLocationAddressFaxNumber": "810-225-6014",
"EnumerationDate": "07/09/2015",
"LastUpdateDate": "12/27/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PAXTON",
"AuthorizedOfficialFirstName": "BARRY",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "BS, MBA",
"AuthorizedOfficialTelephoneNumber": "810-225-4724",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": "NONE REQUIRED",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}