{
"Npi": {
"NPI": "1902099005",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ARC HOME HEALTH OF BROWARD INC",
"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": "9900 STIRLING ROAD",
"SecondLineMailingAddress": "230",
"MailingAddressCityName": "COOPER CITY",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33024",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-364-6255",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9900 STIRLING ROAD",
"SecondLinePracticeLocationAddress": "230",
"PracticeLocationAddressCityName": "COOPER CITY",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33024-8065",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-364-6255",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/22/2007",
"LastUpdateDate": "04/23/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GARCIA",
"AuthorizedOfficialFirstName": "CHRISTOPHER",
"AuthorizedOfficialMiddleName": "MANUEL",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "954-364-6255",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "299992829",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}