{
"Npi": {
"NPI": "1760062525",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SERENITY HOME HEALTH SERVICE LLC",
"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": "6645 E 62ND WAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "COMMERCE CITY",
"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "80022-3582",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "314-497-4910",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6645 E 62ND WAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "COMMERCE CITY",
"PracticeLocationAddressStateName": "CO",
"PracticeLocationAddressPostalCode": "80022-3582",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "314-497-4910",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/14/2021",
"LastUpdateDate": "04/14/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MORRIS",
"AuthorizedOfficialFirstName": "SHERITA",
"AuthorizedOfficialMiddleName": "N",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "314-497-4910",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}