{
"Npi": {
"NPI": "1922404342",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PASSION HOME HEALTH SERVICES LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7918 JONES BRANCH DRIVE, SUITE 451",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MCLEAN",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22102-2210",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "703-752-6128",
"MailingAddressFaxNumber": "571-300-7660",
"FirstLinePracticeLocationAddress": "7918 JONES BRANCH DR STE 451",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MC LEAN",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "22102-3337",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "703-752-6128",
"PracticeLocationAddressFaxNumber": "571-300-7660",
"EnumerationDate": "11/12/2014",
"LastUpdateDate": "10/11/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FOFANAH-CONTEH",
"AuthorizedOfficialFirstName": "MARIE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "703-825-0360",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "HCO-171303",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}