{
"Npi": {
"NPI": "1780122606",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HERITAGE MEDICAL STAFFING INC",
"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": "23830 PACIFIC HWY S",
"SecondLineMailingAddress": "SUITE # 333",
"MailingAddressCityName": "KENT",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98032-7734",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "206-519-0999",
"MailingAddressFaxNumber": "253-344-1106",
"FirstLinePracticeLocationAddress": "23830 PACIFIC HWY S",
"SecondLinePracticeLocationAddress": "SUITE # 333",
"PracticeLocationAddressCityName": "KENT",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98032-7734",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "206-519-0999",
"PracticeLocationAddressFaxNumber": "253-344-1106",
"EnumerationDate": "02/11/2017",
"LastUpdateDate": "02/11/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NJUKI",
"AuthorizedOfficialFirstName": "EVELYN",
"AuthorizedOfficialMiddleName": "WAMBUI",
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": "MISS",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "510-990-1134",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}