{
"Npi": {
"NPI": "1508123068",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ADVANCED HOME HEALTH CARE",
"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": "550 S. ROOSEVELT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BURLINGTON",
"MailingAddressStateName": "IA",
"MailingAddressPostalCode": "52601",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "319-753-6270",
"MailingAddressFaxNumber": "319-753-6237",
"FirstLinePracticeLocationAddress": "550 S. ROOSEVELT",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BURLINGTON",
"PracticeLocationAddressStateName": "IA",
"PracticeLocationAddressPostalCode": "52601",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "319-753-6270",
"PracticeLocationAddressFaxNumber": "319-753-6237",
"EnumerationDate": "04/20/2012",
"LastUpdateDate": "03/06/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GALVIN",
"AuthorizedOfficialFirstName": "LEAH",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "319-753-6270",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "IOWA DOESNT REQUIRE",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}