{
"Npi": {
"NPI": "1598876088",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "HEALTH AND PALLATIVE SERVICES OF THE TREASURE COAST INC",
"ParentOrgTIN": null,
"OrgName": "HOSPICE OF THE TREASURE COAST INC",
"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": "1201 SE INDIAN STREET",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STUART",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34997",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "772-403-4500",
"MailingAddressFaxNumber": "772-781-8423",
"FirstLinePracticeLocationAddress": "5000-5090 DUNN ROAD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FORT PIERCE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34981",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "772-462-8999",
"PracticeLocationAddressFaxNumber": "772-781-8723",
"EnumerationDate": "08/31/2006",
"LastUpdateDate": "08/19/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KENDRICK",
"AuthorizedOfficialFirstName": "JACKIE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "772-403-4500",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": "5033096",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}