{
"Npi": {
"NPI": "1487181186",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DALABEY HOME HEALTH CARE TRANSPORTATION 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": "5701 SHINGLE CREEK PKWY",
"SecondLineMailingAddress": "SUITE#600F",
"MailingAddressCityName": "BROOKLYN CENTER",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55430-2467",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "763-703-9444",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5701 SHINGLE CREEK PKWY",
"SecondLinePracticeLocationAddress": "SUITE:600F",
"PracticeLocationAddressCityName": "BROOKLYN CENTER",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55430",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "763-703-9444",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/12/2017",
"LastUpdateDate": "05/12/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MOHAMED",
"AuthorizedOfficialFirstName": "MOHAMED",
"AuthorizedOfficialMiddleName": "DIRIYE",
"AuthorizedOfficialTitle": "MANAGER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "TRANSPORTATION",
"AuthorizedOfficialTelephoneNumber": "763-703-9444",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "347C00000X",
"TaxonomyName": "Private Vehicle",
"LicenseNumber": "H238080318513",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}