{
"Npi": {
"NPI": "1760827042",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PATHWAYS HOSPICE 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": "885 W. BAGLEY ROAD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BEREA",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44017",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "440-835-2220",
"MailingAddressFaxNumber": "440-835-2224",
"FirstLinePracticeLocationAddress": "885 W. BAGLEY ROAD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BEREA",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44017",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "440-835-2220",
"PracticeLocationAddressFaxNumber": "440-835-2224",
"EnumerationDate": "05/01/2013",
"LastUpdateDate": "06/16/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NOGGLE",
"AuthorizedOfficialFirstName": "DAVID",
"AuthorizedOfficialMiddleName": "GLEN",
"AuthorizedOfficialTitle": "PRESIDENT / CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "440-835-2220",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": "251G00000X",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}