{
"Npi": {
"NPI": "1821264508",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CONNECT HOME 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": "6066 LEESBURG PIKE",
"SecondLineMailingAddress": "STE. 200C",
"MailingAddressCityName": "FALLS CHURCH",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22041-2234",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "703-920-1212",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6066 LEESBURG PIKE",
"SecondLinePracticeLocationAddress": "STE 200C",
"PracticeLocationAddressCityName": "FALLS CHURCH",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "22041-2234",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "703-920-1212",
"PracticeLocationAddressFaxNumber": "703-920-1215",
"EnumerationDate": "05/02/2008",
"LastUpdateDate": "11/17/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KENNEDED",
"AuthorizedOfficialFirstName": "HEIKAL",
"AuthorizedOfficialMiddleName": "IBRAHIM",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "703-920-1212",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "HCO 13453",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}