{
"Npi": {
"NPI": "1669563375",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MCHUGH SERVICES LLC",
"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": "1909 VICKI LN",
"SecondLineMailingAddress": "SUITE 105",
"MailingAddressCityName": "NORFOLK",
"MailingAddressStateName": "NE",
"MailingAddressPostalCode": "68701-4542",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "402-379-3777",
"MailingAddressFaxNumber": "402-379-3793",
"FirstLinePracticeLocationAddress": "1909 VICKI LN",
"SecondLinePracticeLocationAddress": "SUITE 105",
"PracticeLocationAddressCityName": "NORFOLK",
"PracticeLocationAddressStateName": "NE",
"PracticeLocationAddressPostalCode": "68701-4542",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "402-379-3777",
"PracticeLocationAddressFaxNumber": "402-379-3793",
"EnumerationDate": "09/27/2006",
"LastUpdateDate": "09/15/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCHUGH",
"AuthorizedOfficialFirstName": "BRAD",
"AuthorizedOfficialMiddleName": "ROBERT",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "ATC",
"AuthorizedOfficialTelephoneNumber": "402-379-3777",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "001-009851178",
"LicenseNumberStateCode": "NE",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}