{
"Npi": {
"NPI": "1699001503",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "KIWI HOME CARE",
"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": "PO BOX 674",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SEWANEE",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37375-0674",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "931-636-8836",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "101 COUNTRY DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "COWAN",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "37318-3502",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "931-636-8836",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/27/2009",
"LastUpdateDate": "10/27/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VAUGHAN",
"AuthorizedOfficialFirstName": "HILDA",
"AuthorizedOfficialMiddleName": "CUBBERLEY",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "931-636-8836",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": "1000000005498",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}