{
"Npi": {
"NPI": "1992973028",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ELITE NDEPENDENT HOMECARE 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": "1106 CLAYTON LN",
"SecondLineMailingAddress": "SUITE #554 W",
"MailingAddressCityName": "AUSTIN",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78723-1066",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "713-494-8902",
"MailingAddressFaxNumber": "512-260-2345",
"FirstLinePracticeLocationAddress": "1106 CLAYTON LN",
"SecondLinePracticeLocationAddress": "SUITE #554 W",
"PracticeLocationAddressCityName": "AUSTIN",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78723-1066",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "713-494-8902",
"PracticeLocationAddressFaxNumber": "512-260-2345",
"EnumerationDate": "02/12/2008",
"LastUpdateDate": "02/12/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KING",
"AuthorizedOfficialFirstName": "KODEESHA",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "ADMINISTRATRO",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN,BSN",
"AuthorizedOfficialTelephoneNumber": "713-494-8902",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}