{
"Npi": {
"NPI": "1174077416",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ABR HOMECARE OF NY 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": "PO BOX 1848",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SHELTER ISLAND",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11964-1848",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "631-749-5804",
"MailingAddressFaxNumber": "631-749-5803",
"FirstLinePracticeLocationAddress": "74365 MAIN RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GREENPORT",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11944-2622",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "631-333-2077",
"PracticeLocationAddressFaxNumber": "631-333-2078",
"EnumerationDate": "08/03/2016",
"LastUpdateDate": "08/03/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SMITH",
"AuthorizedOfficialFirstName": "J JENNIE",
"AuthorizedOfficialMiddleName": "P",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MA-HCPM",
"AuthorizedOfficialTelephoneNumber": "631-749-5113",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": "2260L001",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}