{
"Npi": {
"NPI": "1578704185",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AUTHENTIC HOME HEALTH SERVICES",
"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": "PO BOX 4752",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MANASSAS",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "20108-4752",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "703-597-1378",
"MailingAddressFaxNumber": "703-651-5483",
"FirstLinePracticeLocationAddress": "8471 IVY GLEN CT",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MANASSAS",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "20110-4632",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "703-597-1378",
"PracticeLocationAddressFaxNumber": "703-651-5483",
"EnumerationDate": "03/11/2009",
"LastUpdateDate": "03/11/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ABUNAW",
"AuthorizedOfficialFirstName": "MARTHA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "703-597-1378",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}