{
"Npi": {
"NPI": "1710129432",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NUTRITION SERVICES, 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": "10205 BALTIMORE AVE",
"SecondLineMailingAddress": "#7105",
"MailingAddressCityName": "COLLEGE PARK",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20740-4218",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "240-460-8056",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6401 IVY LN",
"SecondLinePracticeLocationAddress": "SUITE 700",
"PracticeLocationAddressCityName": "GREENBELT",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "20770-1442",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "240-460-8056",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/26/2009",
"LastUpdateDate": "03/26/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHERRY",
"AuthorizedOfficialFirstName": "JOYCE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DIETITIAN",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "R.D. L.D.",
"AuthorizedOfficialTelephoneNumber": "240-460-8056",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "DO1916",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}