{
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"IsOrgSubpart": "N",
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"OrgName": "QUALITY HOME SERVICES MEDICAL CORPORATION",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 7745",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "VISALIA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93290-7745",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "559-732-3872",
"MailingAddressFaxNumber": "559-732-3873",
"FirstLinePracticeLocationAddress": "7211 W PERSHING CT",
"SecondLinePracticeLocationAddress": "SUITE A",
"PracticeLocationAddressCityName": "VISALIA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "93291-7943",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "559-732-3872",
"PracticeLocationAddressFaxNumber": "559-732-3873",
"EnumerationDate": "02/23/2007",
"LastUpdateDate": "11/27/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MEIS",
"AuthorizedOfficialFirstName": "STEPHEN",
"AuthorizedOfficialMiddleName": "R.",
"AuthorizedOfficialTitle": "CEO OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "559-901-0975",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}