{
"Npi": {
"NPI": "1669471884",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "REGIONAL HOME HEALTH 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": "PO BOX 128",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ELKHART",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46515-0128",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "574-320-9999",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3367 BRIDGETOWN RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BRISTOL",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "46507-8765",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "574-320-9999",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/19/2005",
"LastUpdateDate": "10/29/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FAHLBECK",
"AuthorizedOfficialFirstName": "PAMELA",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "PRESIDENT/CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "574-320-9999",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}