{
"Npi": {
"NPI": "1669004206",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ANGELS SPECIAL CARE INC",
"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": "17571 S DIXIE HWY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PALMETTO BAY",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33157-5435",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "786-288-9542",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "17571 S DIXIE HWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PALMETTO BAY",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33157-5435",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "786-288-9542",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/11/2020",
"LastUpdateDate": "02/11/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SOLER",
"AuthorizedOfficialFirstName": "DUNIA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT / DON",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "786-288-9542",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "261QM3000X",
"TaxonomyName": "Medically Fragile Infants and Children Day Care",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3140N1450X",
"TaxonomyName": "Pediatric Skilled Nursing Facility",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}