{
"Npi": {
"NPI": "1972734739",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CINERGY HOME HEALTH SERVICES INC.",
"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": "629 S 1ST AVE",
"SecondLineMailingAddress": "SUITE B",
"MailingAddressCityName": "COVINA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91723-3511",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "626-966-1200",
"MailingAddressFaxNumber": "626-966-1225",
"FirstLinePracticeLocationAddress": "629 S 1ST AVE",
"SecondLinePracticeLocationAddress": "SUITE B",
"PracticeLocationAddressCityName": "COVINA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91723-3511",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "626-966-1200",
"PracticeLocationAddressFaxNumber": "626-966-1225",
"EnumerationDate": "07/28/2009",
"LastUpdateDate": "07/28/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NAVARRO",
"AuthorizedOfficialFirstName": "NERISSA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "626-966-1200",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}