{
"Npi": {
"NPI": "1912140914",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TRINITY MEDICAL HOME CARE SERVICES",
"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": "6030 GOLF CLUB LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FAIRFIELD",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "45011-7816",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "513-703-9755",
"MailingAddressFaxNumber": "513-672-0196",
"FirstLinePracticeLocationAddress": "6030 GOLF CLUB LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FAIRFIELD",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "45011-7816",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "513-703-9755",
"PracticeLocationAddressFaxNumber": "513-672-0196",
"EnumerationDate": "04/07/2009",
"LastUpdateDate": "04/07/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ZIMMER",
"AuthorizedOfficialFirstName": "FRANKIE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "513-703-9755",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "251J00000X",
"TaxonomyName": "Nursing Care Agency",
"LicenseNumber": "1843311",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "1843311",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}