{
"Npi": {
"NPI": "1700286051",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AMBER HOME HEALTH CARE LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "900 AMERICAN BLVD E",
"SecondLineMailingAddress": "SUITE 206",
"MailingAddressCityName": "BLOOMINGTON",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55420-1392",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "952-854-1680",
"MailingAddressFaxNumber": "952-854-4466",
"FirstLinePracticeLocationAddress": "900 AMERICAN BLVD E",
"SecondLinePracticeLocationAddress": "SUITE 206",
"PracticeLocationAddressCityName": "BLOOMINGTON",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55420-1392",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "952-854-1680",
"PracticeLocationAddressFaxNumber": "952-854-4466",
"EnumerationDate": "08/23/2014",
"LastUpdateDate": "08/23/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ASFAW",
"AuthorizedOfficialFirstName": "AKLOG",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CHIEF MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "612-940-7714",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "A553630100",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}