{
"Npi": {
"NPI": "1629216395",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOMECARE FRIENDS, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2558 WOODHAVEN CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GREEN COVE SPRINGS",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32043-5292",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "904-234-8151",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1863 WELLS RD SUITE 176",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ORANGE PARK",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32073",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "904-239-3154",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/03/2009",
"LastUpdateDate": "02/03/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCDOWELL",
"AuthorizedOfficialFirstName": "DESIREE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MM",
"AuthorizedOfficialTelephoneNumber": "904-234-8151",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": "HCS230401",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}