{
"Npi": {
"NPI": "1700058906",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PASSIONATE HEALTHCARE SERVICES, 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": "PO BOX 47224",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WINDSOR MILL",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21244-0224",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "410-660-5925",
"MailingAddressFaxNumber": "410-298-9234",
"FirstLinePracticeLocationAddress": "7600 RESERVE CIR",
"SecondLinePracticeLocationAddress": "SUITE 303",
"PracticeLocationAddressCityName": "BALTIMORE",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21244-1605",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "410-298-9234",
"PracticeLocationAddressFaxNumber": "410-298-9234",
"EnumerationDate": "03/27/2008",
"LastUpdateDate": "07/03/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BEN",
"AuthorizedOfficialFirstName": "DORIS",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "COO",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "410-660-5925",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "251J00000X",
"TaxonomyName": "Nursing Care Agency",
"LicenseNumber": "0707008 NURSINGSTAFF",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "R2695R (RSA)",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}