{
"Npi": {
"NPI": "1770997496",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BALTIMORE FAMILY HOME HEALTHCARE SERVICES",
"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": "11208 MARLBORO RIDGE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "UPPER MARLBORO",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20772-8029",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "443-742-2678",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1005 N POINT BLVD STE 728",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BALTIMORE",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21224-3402",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "240-675-3018",
"PracticeLocationAddressFaxNumber": "443-503-6041",
"EnumerationDate": "06/20/2014",
"LastUpdateDate": "05/12/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AGYINGI",
"AuthorizedOfficialFirstName": "JEAN CLAUDE",
"AuthorizedOfficialMiddleName": "NDASHI",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "443-530-3394",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "R3654P",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}