{
"Npi": {
"NPI": "1902122310",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NEW WAVE HOME HEALTH HOME CARE LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "175 E HIGHLAND AVE",
"SecondLineMailingAddress": "APT B",
"MailingAddressCityName": "SIERRA MADRE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91024-1926",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "626-836-6851",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1350 N ALTADENA DR",
"SecondLinePracticeLocationAddress": "SUITE B",
"PracticeLocationAddressCityName": "PASADENA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91107-1458",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "626-639-0226",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/09/2010",
"LastUpdateDate": "04/09/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KUMAR",
"AuthorizedOfficialFirstName": "JAYASHREE",
"AuthorizedOfficialMiddleName": "SANTHOSH",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "626-836-6851",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": "N/A",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}