{
"Npi": {
"NPI": "1659420859",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AFFINITY HOME HEALTH CARE LLC",
"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": "5553 BROADVIEW RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PARMA",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44134-1604",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "216-661-6800",
"MailingAddressFaxNumber": "216-739-3794",
"FirstLinePracticeLocationAddress": "797 E MARKET ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "AKRON",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44305-2440",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "330-434-4514",
"PracticeLocationAddressFaxNumber": "330-996-7541",
"EnumerationDate": "01/09/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FLANK",
"AuthorizedOfficialFirstName": "EITAN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MANAGING MEMBER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "216-430-1197",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}