{
"Npi": {
"NPI": "1780697284",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AFFORDABLE HEALTH CARE, 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": "315 W 10TH ST NE",
"SecondLineMailingAddress": "SUITE 110",
"MailingAddressCityName": "ROME",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30165-2638",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "706-802-1322",
"MailingAddressFaxNumber": "706-802-0736",
"FirstLinePracticeLocationAddress": "315 W 10TH ST NE",
"SecondLinePracticeLocationAddress": "SUITE 110",
"PracticeLocationAddressCityName": "ROME",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30165-2638",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "706-802-1322",
"PracticeLocationAddressFaxNumber": "706-802-0736",
"EnumerationDate": "08/14/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MORRIS",
"AuthorizedOfficialFirstName": "ANDREW",
"AuthorizedOfficialMiddleName": "J.",
"AuthorizedOfficialTitle": "MANAGINM MEMBER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "III",
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "706-802-1322",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}