{
"Npi": {
"NPI": "1669593919",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SILVERAGE HOME HEALTH CARE SERVICE 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": "4018 WILTSHIRE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GARLAND",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75043-7630",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "469-569-2821",
"MailingAddressFaxNumber": "972-240-9597",
"FirstLinePracticeLocationAddress": "4018 WILTSHIRE DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GARLAND",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75043-7630",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "469-569-2821",
"PracticeLocationAddressFaxNumber": "972-240-9597",
"EnumerationDate": "04/03/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ETTI",
"AuthorizedOfficialFirstName": "ADETUTU",
"AuthorizedOfficialMiddleName": "K",
"AuthorizedOfficialTitle": "ADMIN",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "R.N",
"AuthorizedOfficialTelephoneNumber": "469-569-2821",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "PENDING",
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}