{
"Npi": {
"NPI": "1932110046",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DIGNITY HOME HEALTH, LLC",
"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": "62 N GRANT AVE STE 100",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "AMERICAN FORK",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84003-1728",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "801-492-4892",
"MailingAddressFaxNumber": "801-770-3322",
"FirstLinePracticeLocationAddress": "62 N GRANT AVE STE 100",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "AMERICAN FORK",
"PracticeLocationAddressStateName": "UT",
"PracticeLocationAddressPostalCode": "84003-1728",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "801-492-4892",
"PracticeLocationAddressFaxNumber": "801-770-3322",
"EnumerationDate": "08/11/2006",
"LastUpdateDate": "05/06/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WILSON",
"AuthorizedOfficialFirstName": "BRICE",
"AuthorizedOfficialMiddleName": "N.",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "II",
"AuthorizedOfficialCredential": "MBA",
"AuthorizedOfficialTelephoneNumber": "801-492-4892",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}