{
"Npi": {
"NPI": "1821383118",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "COMMUNITY HOSPICES OF AMERICA, LLC",
"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": "3050 I 70 DR SE",
"SecondLineMailingAddress": "SUITE 200",
"MailingAddressCityName": "COLUMBIA",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "65201-4105",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "573-443-8360",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3050 I 70 DR SE",
"SecondLinePracticeLocationAddress": "SUITE 200",
"PracticeLocationAddressCityName": "COLUMBIA",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "65201-4105",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "573-443-8360",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/14/2011",
"LastUpdateDate": "06/14/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ANDREWS",
"AuthorizedOfficialFirstName": "DAVID",
"AuthorizedOfficialMiddleName": "T.",
"AuthorizedOfficialTitle": "SECRETARY AND SENIOR VICE PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "615-425-5407",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": "194-HO",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}