{
"Npi": {
"NPI": "1811076870",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DYNAMIC HOME CARE SERVICES INC.",
"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": "14260 VENTURA BLVD",
"SecondLineMailingAddress": "SUITE 301",
"MailingAddressCityName": "SHERMAN OAKS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91423-2734",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-981-4446",
"MailingAddressFaxNumber": "818-981-0677",
"FirstLinePracticeLocationAddress": "14260 VENTURA BLVD",
"SecondLinePracticeLocationAddress": "SUITE 301",
"PracticeLocationAddressCityName": "SHERMAN OAKS",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91423-2734",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "818-981-4446",
"PracticeLocationAddressFaxNumber": "818-981-0677",
"EnumerationDate": "11/02/2006",
"LastUpdateDate": "03/24/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PARDO",
"AuthorizedOfficialFirstName": "NISSAN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO/CFO",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PH.D.",
"AuthorizedOfficialTelephoneNumber": "818-981-4446",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "980000668",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}