{
"Npi": {
"NPI": "1770537110",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "IR HOME HEALTH",
"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": "PO BOX 2910",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HARKER HEIGHTS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76548-0910",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "254-628-7900",
"MailingAddressFaxNumber": "254-628-7905",
"FirstLinePracticeLocationAddress": "1805 FLORENCE RD",
"SecondLinePracticeLocationAddress": "SUITE 14",
"PracticeLocationAddressCityName": "KILLEEN",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76541-8523",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "254-628-7900",
"PracticeLocationAddressFaxNumber": "254-628-7905",
"EnumerationDate": "05/20/2006",
"LastUpdateDate": "05/12/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MITCHELL",
"AuthorizedOfficialFirstName": "KIDADA",
"AuthorizedOfficialMiddleName": "AKILAH",
"AuthorizedOfficialTitle": "CFO",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OTR/L",
"AuthorizedOfficialTelephoneNumber": "254-628-7900",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "009276",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}