{
"Npi": {
"NPI": "1518237619",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ETERNAL HOSPICE CARE INC.",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2155 E GARVEY AVE N STE B10",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WEST COVINA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91791-1509",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "626-727-6314",
"MailingAddressFaxNumber": "626-727-6316",
"FirstLinePracticeLocationAddress": "2155 E GARVEY AVE N STE B10",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WEST COVINA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91791-1509",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "626-727-6314",
"PracticeLocationAddressFaxNumber": "626-727-6316",
"EnumerationDate": "01/05/2012",
"LastUpdateDate": "08/21/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MARANAN",
"AuthorizedOfficialFirstName": "ELIZABETH",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO/PRESIDENT",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "626-727-6314",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}