{
"Npi": {
"NPI": "1558692749",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "S.A.I.L. SOLO HEALTH 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": "629 VIRGINIA AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ERIE",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "16505-4611",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "814-572-0480",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1001 STATE ST",
"SecondLinePracticeLocationAddress": "SUITE 1123",
"PracticeLocationAddressCityName": "ERIE",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "16501-1814",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "814-392-5389",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/27/2010",
"LastUpdateDate": "01/27/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HAGUE",
"AuthorizedOfficialFirstName": "BERNICE",
"AuthorizedOfficialMiddleName": "K",
"AuthorizedOfficialTitle": "OWNER/CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "R.N.",
"AuthorizedOfficialTelephoneNumber": "814-572-0480",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "RN271769L",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}