{
"Npi": {
"NPI": "1922191428",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOMETOWN HOME HEALTH CARE, 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": "P.O. BOX 843",
"SecondLineMailingAddress": "121 FOREST HILLS RD.",
"MailingAddressCityName": "ROGERSVILLE",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37857",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "423-272-7941",
"MailingAddressFaxNumber": "423-272-0149",
"FirstLinePracticeLocationAddress": "121 FOREST HILLS RD.",
"SecondLinePracticeLocationAddress": "SUITE B",
"PracticeLocationAddressCityName": "ROGERSVILLE",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "37857",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "423-272-7941",
"PracticeLocationAddressFaxNumber": "423-272-0149",
"EnumerationDate": "10/02/2006",
"LastUpdateDate": "06/24/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GREGG",
"AuthorizedOfficialFirstName": "FREDDY",
"AuthorizedOfficialMiddleName": "R.",
"AuthorizedOfficialTitle": "CHIEF FINANCIAL OFFICER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "423-272-7941",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "0000000320",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}