{
"Npi": {
"NPI": "1568743474",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JW ADVANTAGE CARE, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1870- 50TH STREET E.",
"SecondLineMailingAddress": "SUITE 7",
"MailingAddressCityName": "INVER GROVE HEIGHTS",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55077",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "651-330-3071",
"MailingAddressFaxNumber": "651-330-3721",
"FirstLinePracticeLocationAddress": "1870- 50TH STREET E.",
"SecondLinePracticeLocationAddress": "SUITE 7",
"PracticeLocationAddressCityName": "INVER GROVE HEIGHTS",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55077",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "651-330-3071",
"PracticeLocationAddressFaxNumber": "651-330-3721",
"EnumerationDate": "09/06/2011",
"LastUpdateDate": "09/06/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WURZER",
"AuthorizedOfficialFirstName": "JOAN",
"AuthorizedOfficialMiddleName": "M.",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "651-330-3071",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}