{
"Npi": {
"NPI": "1770169419",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "CARING HAND COMPANIONS LLC",
"ParentOrgTIN": null,
"OrgName": "CARING HAND COMPANIONS 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": "208 CHEESEBOROUGH AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "QUINCY",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32351-4510",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "850-518-4484",
"MailingAddressFaxNumber": "855-402-2854",
"FirstLinePracticeLocationAddress": "2707 KILLARNEY WAY STE 210",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TALLAHASSEE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32309-6203",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "833-498-8480",
"PracticeLocationAddressFaxNumber": "855-402-2854",
"EnumerationDate": "03/23/2021",
"LastUpdateDate": "03/08/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BAKER",
"AuthorizedOfficialFirstName": "SHINITA",
"AuthorizedOfficialMiddleName": "ANN",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MPSYCH",
"AuthorizedOfficialTelephoneNumber": "850-518-4484",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}