{
"Npi": {
"NPI": "1821536590",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SIGNAL TREE HOME HEALTH",
"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": "2830 COPLEY RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "COPLEY",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44321-2142",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "234-466-0990",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2830 COPLEY RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "COPLEY",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44321",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "234-466-0990",
"PracticeLocationAddressFaxNumber": "216-803-6712",
"EnumerationDate": "02/02/2017",
"LastUpdateDate": "11/26/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HALL",
"AuthorizedOfficialFirstName": "CHRISTOPHER",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CHIEF FINANCIAL OFFICER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "440-796-3897",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "3975068",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}