{
"Npi": {
"NPI": "1104055888",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOME SWEET HOMECARE OF LI INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4747 NESCONSET HWY",
"SecondLineMailingAddress": "UNIT 28",
"MailingAddressCityName": "PORT JEFFERSON ST",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11776",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "631-828-8874",
"MailingAddressFaxNumber": "631-473-0870",
"FirstLinePracticeLocationAddress": "4747 NESCONSET HWY",
"SecondLinePracticeLocationAddress": "UNIT 28",
"PracticeLocationAddressCityName": "PORT JEFFERSON STA",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11776",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "631-828-8874",
"PracticeLocationAddressFaxNumber": "631-473-0870",
"EnumerationDate": "07/02/2009",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JONES",
"AuthorizedOfficialFirstName": "CATHERINE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "631-828-8874",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "1551L-001",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}