{
"Npi": {
"NPI": "1902273188",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BETHESDACARE-HOUSEOFMERCY,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": "PO BOX 22",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STAFFORD",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22555-0022",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "540-318-0484",
"MailingAddressFaxNumber": "703-337-0331",
"FirstLinePracticeLocationAddress": "11 JOSHUA RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "STAFFORD",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "22556-3608",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "540-318-0484",
"PracticeLocationAddressFaxNumber": "703-337-0331",
"EnumerationDate": "08/24/2015",
"LastUpdateDate": "08/24/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MWAMIZINZI",
"AuthorizedOfficialFirstName": "NABUNYI",
"AuthorizedOfficialMiddleName": "HONORINE",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "BS",
"AuthorizedOfficialTelephoneNumber": "703-867-2141",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "HCO161329",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}