{
"Npi": {
"NPI": "1164806295",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BAY COVE HUMAN RESOURCES",
"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": "863 ADAMS ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DORCHESTER",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "02124-5205",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "978-930-5508",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "863 ADAMS ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DORCHESTER",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "02124",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "978-930-5508",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/18/2015",
"LastUpdateDate": "07/18/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SPRAGU",
"AuthorizedOfficialFirstName": "WILLIAM",
"AuthorizedOfficialMiddleName": "H",
"AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.ED",
"AuthorizedOfficialTelephoneNumber": "617-371-3003",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": "S73597186",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}