{
"Npi": {
"NPI": "1922235605",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOME PHLEBOTOMY & NURSING SERVICES",
"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": "1507 RITCHIE HWY",
"SecondLineMailingAddress": "SUITE 101",
"MailingAddressCityName": "ARNOLD",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21012-2743",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "410-626-7008",
"MailingAddressFaxNumber": "410-626-8801",
"FirstLinePracticeLocationAddress": "1507 RITCHIE HWY",
"SecondLinePracticeLocationAddress": "SUITE 101",
"PracticeLocationAddressCityName": "ARNOLD",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21012-2743",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "410-626-7008",
"PracticeLocationAddressFaxNumber": "410-626-8801",
"EnumerationDate": "06/19/2009",
"LastUpdateDate": "06/19/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LONG",
"AuthorizedOfficialFirstName": "CATHERINE",
"AuthorizedOfficialMiddleName": "LOUISE",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "410-626-7008",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251J00000X",
"TaxonomyName": "Nursing Care Agency",
"LicenseNumber": "R115013",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}