{
"Npi": {
"NPI": "1730486119",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SUPPORT TEAM SPECIALISTS",
"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": "8014 PEARDALE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LEWIS CENTER",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "43035-7041",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "740-549-6272",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "98 MUIRWOOD DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DELAWARE",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "43015-1086",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "740-362-4709",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/19/2011",
"LastUpdateDate": "02/19/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RANSOM",
"AuthorizedOfficialFirstName": "SEAN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "GENERAL PARTNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "740-549-6272",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": "1963341",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}