{
"Npi": {
"NPI": "1033399779",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "J&M ADULT HOMECARE",
"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": "134 INNIS AVE",
"SecondLineMailingAddress": "APARTMENT P09",
"MailingAddressCityName": "POUGHKEEPSIE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12601-2800",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "845-454-6171",
"MailingAddressFaxNumber": "845-454-6171",
"FirstLinePracticeLocationAddress": "134 INNIS AVE",
"SecondLinePracticeLocationAddress": "APT P09",
"PracticeLocationAddressCityName": "POUGHKEEPSIE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "12601-2800",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "845-454-6171",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/09/2007",
"LastUpdateDate": "11/09/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "REID",
"AuthorizedOfficialFirstName": "JHEANNELL",
"AuthorizedOfficialMiddleName": "ALEISHA",
"AuthorizedOfficialTitle": "REGISTERED NURSE",
"AuthorizedOfficialNamePrefix": "MISS",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "845-454-6171",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "311ZA0620X",
"TaxonomyName": "Adult Care Home Facility",
"LicenseNumber": "560425-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}