{
"Npi": {
"NPI": "1497852545",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FAMILY CHOICE HOME CARE, 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": "1925 W 3RD ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ELK CITY",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73644-4303",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "580-225-4140",
"MailingAddressFaxNumber": "580-225-4102",
"FirstLinePracticeLocationAddress": "1925 W 3RD ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ELK CITY",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "73644-4303",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "580-225-4140",
"PracticeLocationAddressFaxNumber": "580-225-4102",
"EnumerationDate": "09/20/2006",
"LastUpdateDate": "01/22/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WARNKE",
"AuthorizedOfficialFirstName": "MISTY",
"AuthorizedOfficialMiddleName": "DAWN",
"AuthorizedOfficialTitle": "PARTNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LPN",
"AuthorizedOfficialTelephoneNumber": "580-225-4140",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "7852",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}