{
"Npi": {
"NPI": "1720676521",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PEACHES OF LOVE",
"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": "254 GREEN POND HWY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WALTERBORO",
"MailingAddressStateName": "SC",
"MailingAddressPostalCode": "29488-4419",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "843-782-4646",
"MailingAddressFaxNumber": "843-782-4647",
"FirstLinePracticeLocationAddress": "254 GREEN POND HWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WALTERBORO",
"PracticeLocationAddressStateName": "SC",
"PracticeLocationAddressPostalCode": "29488-4419",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "843-782-4646",
"PracticeLocationAddressFaxNumber": "843-782-4647",
"EnumerationDate": "01/06/2021",
"LastUpdateDate": "01/06/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FERGUSON",
"AuthorizedOfficialFirstName": "ERNESTINE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO / OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LPN",
"AuthorizedOfficialTelephoneNumber": "843-782-4646",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}