{
"Npi": {
"NPI": "1811668783",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GIFTING WELLNESS 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": "3281 OLD SALEM RD SE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CONYERS",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30013-2257",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "404-754-9703",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3281 OLD SALEM RD SE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CONYERS",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30013-2257",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "404-754-9703",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/21/2021",
"LastUpdateDate": "09/21/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KELLY",
"AuthorizedOfficialFirstName": "ADRIENNE",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "CEO/MEDICAL PROVIDER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "NP",
"AuthorizedOfficialTelephoneNumber": "404-754-9703",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}