{
"Npi": {
"NPI": "1669750253",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NU-WAVE 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": "32540 SCHOOLCRAFT RD",
"SecondLineMailingAddress": "SUITE # 230",
"MailingAddressCityName": "LIVONIA",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48150-4305",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "734-956-3211",
"MailingAddressFaxNumber": "734-956-3212",
"FirstLinePracticeLocationAddress": "32540 SCHOOLCRAFT RD",
"SecondLinePracticeLocationAddress": "SUITE # 230",
"PracticeLocationAddressCityName": "LIVONIA",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48150-4305",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "734-956-3211",
"PracticeLocationAddressFaxNumber": "734-956-3212",
"EnumerationDate": "07/29/2011",
"LastUpdateDate": "11/03/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ANDRADES VALDES",
"AuthorizedOfficialFirstName": "OSMANY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "734-956-3211",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "03696U",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}