{
"Npi": {
"NPI": "1750042784",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MORNING STAR HOSPICE AND PALLIATIVE CARE IN LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1128 E WINONA AVE STE B1",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WARSAW",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46580-4605",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "574-377-5863",
"MailingAddressFaxNumber": "574-566-1529",
"FirstLinePracticeLocationAddress": "1128 E WINONA AVE STE B",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WARSAW",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "46580-4605",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "574-377-5863",
"PracticeLocationAddressFaxNumber": "574-566-1529",
"EnumerationDate": "01/03/2022",
"LastUpdateDate": "02/27/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CASEY",
"AuthorizedOfficialFirstName": "BRYAN",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "VICE PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "740-415-1138",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}