{
"Npi": {
"NPI": "1962148908",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOME OF THE HEART,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": "PO BOX 7070",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MCCOMB",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39649-7070",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "769-204-3699",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "210 N FRONT ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MCCOMB",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "39648-3916",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "769-217-8760",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/11/2022",
"LastUpdateDate": "05/11/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COMMODORE",
"AuthorizedOfficialFirstName": "ANGELA",
"AuthorizedOfficialMiddleName": "FAYE",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "769-204-3699",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "385H00000X",
"TaxonomyName": "Respite Care",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "376J00000X",
"TaxonomyName": "Homemaker",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}