{
"Npi": {
"NPI": "1851423610",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "UNIFIED NURSING CARE SERVICE",
"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": "103 W CHELLY ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WARSAW",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28398-1332",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "910-293-3030",
"MailingAddressFaxNumber": "910-293-2990",
"FirstLinePracticeLocationAddress": "103 W CHELLY ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WARSAW",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28398-1332",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "910-293-3030",
"PracticeLocationAddressFaxNumber": "910-293-2990",
"EnumerationDate": "03/09/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WILEY",
"AuthorizedOfficialFirstName": "EDITH",
"AuthorizedOfficialMiddleName": "B",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "910-293-3030",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "HC3561",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}