{
"Npi": {
"NPI": "1891040754",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FAVORITE HEALTH CARE STAFFING",
"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": "212 CHURCH ST S",
"SecondLineMailingAddress": "PO BOX 184",
"MailingAddressCityName": "BROWNS VALLEY",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "56219-2001",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "612-499-0200",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1700 HIGHWAY 36 W",
"SecondLinePracticeLocationAddress": "SUITE 880",
"PracticeLocationAddressCityName": "ROSEVILLE",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55113-4034",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "651-646-8046",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/17/2012",
"LastUpdateDate": "07/17/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HOFFMAN",
"AuthorizedOfficialFirstName": "DONNA",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "NURSE",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "REGISTERED NURSE",
"AuthorizedOfficialTelephoneNumber": "612-499-0200",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251J00000X",
"TaxonomyName": "Nursing Care Agency",
"LicenseNumber": "R148513-2",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}