{
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"OrgName": "PATIENT AIDS INC",
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"FirstLineMailingAddress": "100 CROSSING DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WILDER",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "41076-8848",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "859-441-8876",
"MailingAddressFaxNumber": "859-441-5850",
"FirstLinePracticeLocationAddress": "4901 CENTURY PLAZA RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "INDIANAPOLIS",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "46254-4159",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "317-841-0202",
"PracticeLocationAddressFaxNumber": "317-849-0202",
"EnumerationDate": "10/22/2013",
"LastUpdateDate": "03/26/2024",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CRAWFORD",
"AuthorizedOfficialFirstName": "GREG",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialTelephoneNumber": "859-441-8876",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332BX2000X",
"TaxonomyName": "Oxygen Equipment & Supplies (DME)",
"LicenseNumber": "332B00000X",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}