{
"Npi": {
"NPI": "1952963712",
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"ReplacementNPI": null,
"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ADVANCED CARE HOME HEALTH SERVICES, INC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5881 NW 151ST ST STE 208",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MIAMI LAKES",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33014-2456",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "786-615-2160",
"MailingAddressFaxNumber": "786-228-0160",
"FirstLinePracticeLocationAddress": "5881 NW 151ST ST STE 208",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MIAMI LAKES",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33014-2456",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "786-615-2160",
"PracticeLocationAddressFaxNumber": "786-228-0160",
"EnumerationDate": "07/02/2019",
"LastUpdateDate": "07/02/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DOMINGUEZ HERNANDEZ",
"AuthorizedOfficialFirstName": "DIUSNAIDY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "786-356-0179",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}