{
"Npi": {
"NPI": "1689043440",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JENKINS LOVIN 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": "411 BLUEBERRY CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EDGEWOOD",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21040-3538",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "443-621-1840",
"MailingAddressFaxNumber": "410-676-6375",
"FirstLinePracticeLocationAddress": "411 BLUEBERRY CT",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "EDGEWOOD",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21040-3538",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "443-621-1840",
"PracticeLocationAddressFaxNumber": "410-676-6375",
"EnumerationDate": "09/22/2015",
"LastUpdateDate": "09/22/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JENKINS",
"AuthorizedOfficialFirstName": "SANDRA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "443-621-1840",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "311ZA0620X",
"TaxonomyName": "Adult Care Home Facility",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}