{
"Npi": {
"NPI": "1487938437",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LJ HOME HEALTH SERVICE, INC",
"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": "6987 COLLINGWOOD LN",
"SecondLineMailingAddress": "#6",
"MailingAddressCityName": "WOODBURY",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55125-2119",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "651-261-4599",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1990 SUBURBAN AVE",
"SecondLinePracticeLocationAddress": "SUITE 2008",
"PracticeLocationAddressCityName": "SAINT PAUL",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55119-7001",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "651-261-4599",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/07/2011",
"LastUpdateDate": "10/07/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "YOUNG",
"AuthorizedOfficialFirstName": "LUCY",
"AuthorizedOfficialMiddleName": "MAE",
"AuthorizedOfficialTitle": "CEO/OWNER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LPN",
"AuthorizedOfficialTelephoneNumber": "651-261-4599",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "247276",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}