{
"Npi": {
"NPI": "1710910419",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FOUR STAR HOME HEALTH CARE, 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": "1915 S AUSTIN AVE",
"SecondLineMailingAddress": "SUITE 108",
"MailingAddressCityName": "GEORGETOWN",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78626-7843",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "512-864-9994",
"MailingAddressFaxNumber": "512-864-9954",
"FirstLinePracticeLocationAddress": "1915 S AUSTIN AVE",
"SecondLinePracticeLocationAddress": "SUITE 108",
"PracticeLocationAddressCityName": "GEORGETOWN",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78626-7843",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "512-864-9994",
"PracticeLocationAddressFaxNumber": "512-864-9954",
"EnumerationDate": "07/08/2006",
"LastUpdateDate": "11/14/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NWANKPA",
"AuthorizedOfficialFirstName": "ROSEMARY",
"AuthorizedOfficialMiddleName": "C",
"AuthorizedOfficialTitle": "CFO",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "ACCOUNTANT",
"AuthorizedOfficialTelephoneNumber": "512-446-5335",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "009344",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}