{
"Npi": {
"NPI": "1568535482",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOMERESOURCE CARE & NSG SERV. 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": "1399 GENEVA AVE N",
"SecondLineMailingAddress": "# 103",
"MailingAddressCityName": "OAKDALE",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55128-5709",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "651-714-7150",
"MailingAddressFaxNumber": "651-714-7192",
"FirstLinePracticeLocationAddress": "1399 GENEVA AVE N",
"SecondLinePracticeLocationAddress": "# 103",
"PracticeLocationAddressCityName": "OAKDALE",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55128-5709",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "651-714-7150",
"PracticeLocationAddressFaxNumber": "651-714-7192",
"EnumerationDate": "11/16/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AREBOJIE",
"AuthorizedOfficialFirstName": "BROWNSON",
"AuthorizedOfficialMiddleName": "JOHN",
"AuthorizedOfficialTitle": "MANAGER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "651-714-7150",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "331535",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}