{
"Npi": {
"NPI": "1750933628",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GOLDEN HOME CARE 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": "31 HASKELL ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WESTBROOK",
"MailingAddressStateName": "ME",
"MailingAddressPostalCode": "04092-4217",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "207-318-1489",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "31 HASKELL ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WESTBROOK",
"PracticeLocationAddressStateName": "ME",
"PracticeLocationAddressPostalCode": "04092-4217",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "207-318-1489",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/11/2019",
"LastUpdateDate": "04/11/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HADI",
"AuthorizedOfficialFirstName": "RYAM",
"AuthorizedOfficialMiddleName": "R",
"AuthorizedOfficialTitle": "MANAGER",
"AuthorizedOfficialNamePrefix": "MISS",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DIPLOMA",
"AuthorizedOfficialTelephoneNumber": "207-318-1489",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}