{
"Npi": {
"NPI": "1598058869",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PALADIN HOME CARE",
"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": "828 SAN PABLO AVE",
"SecondLineMailingAddress": "SUITE 120B",
"MailingAddressCityName": "ALBANY",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94706-1567",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "510-526-2273",
"MailingAddressFaxNumber": "510-550-4848",
"FirstLinePracticeLocationAddress": "828 SAN PABLO AVE",
"SecondLinePracticeLocationAddress": "SUITE 120B",
"PracticeLocationAddressCityName": "ALBANY",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "94706-1567",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "510-526-2273",
"PracticeLocationAddressFaxNumber": "510-550-4848",
"EnumerationDate": "05/19/2011",
"LastUpdateDate": "05/19/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHARLES",
"AuthorizedOfficialFirstName": "SHAUN",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "510-526-2273",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}