{
"Npi": {
"NPI": "1669782496",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ANCHOR HOME CARE, LLC",
"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": "1351 SILHAVY RD",
"SecondLineMailingAddress": "SUITE 200",
"MailingAddressCityName": "VALPARAISO",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46383-9513",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "219-531-9400",
"MailingAddressFaxNumber": "219-464-1066",
"FirstLinePracticeLocationAddress": "1351 SILHAVY RD",
"SecondLinePracticeLocationAddress": "SUITE 200",
"PracticeLocationAddressCityName": "VALPARAISO",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "46383-9513",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "219-531-9400",
"PracticeLocationAddressFaxNumber": "219-464-1066",
"EnumerationDate": "10/14/2010",
"LastUpdateDate": "10/14/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WILSON",
"AuthorizedOfficialFirstName": "R.",
"AuthorizedOfficialMiddleName": "TIMOTHY",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MSM",
"AuthorizedOfficialTelephoneNumber": "219-246-2481",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "10-012356-1",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}