{
"Npi": {
"NPI": "1497807358",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MOORE HOME HEALTH CARE, 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": "9000 INDIANAPOLIS BLVD STE A",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HIGHLAND",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46322-2501",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "219-923-2655",
"MailingAddressFaxNumber": "219-923-2640",
"FirstLinePracticeLocationAddress": "9000 INDIANAPOLIS BLVD STE A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HIGHLAND",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "46322-2501",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "219-923-2655",
"PracticeLocationAddressFaxNumber": "219-923-2640",
"EnumerationDate": "01/18/2007",
"LastUpdateDate": "09/17/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ANGELETY-MOORE",
"AuthorizedOfficialFirstName": "LUDEEN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "219-392-6858",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "06-009757-1",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}