{
"Npi": {
"NPI": "1730447665",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CONCORDIA HOME HEALTH, 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": "5645 LAKE LIZZIE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAINT CLOUD",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34771-8510",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "407-892-7440",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5645 LAKE LIZZIE DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SAINT CLOUD",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34771-8510",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "407-892-7440",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/28/2012",
"LastUpdateDate": "04/28/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LAUBENSTEIN",
"AuthorizedOfficialFirstName": "SHARON",
"AuthorizedOfficialMiddleName": "LOUISE",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "407-288-2516",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}