{
"Npi": {
"NPI": "1952332108",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "F.C. OF VIRGINIA, INC.",
"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": "6600 FRANCE AVE S",
"SecondLineMailingAddress": "SUITE 510",
"MailingAddressCityName": "EDINA",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55435-1805",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "952-285-7300",
"MailingAddressFaxNumber": "952-920-3316",
"FirstLinePracticeLocationAddress": "8100 THREE CHOPT RD",
"SecondLinePracticeLocationAddress": "SUITE 214",
"PracticeLocationAddressCityName": "RICHMOND",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "23229-4833",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "804-288-5001",
"PracticeLocationAddressFaxNumber": "804-288-5009",
"EnumerationDate": "07/05/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JUDY",
"AuthorizedOfficialFirstName": "RICHARD",
"AuthorizedOfficialMiddleName": "WAYNE",
"AuthorizedOfficialTitle": "CFO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "952-285-7300",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}