{
"Npi": {
"NPI": "1184873424",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MERCY HOME CARE OF CONNECTICUT, 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": "28 KNIGHT ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORWALK",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06851-4719",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "203-852-0773",
"MailingAddressFaxNumber": "203-299-0415",
"FirstLinePracticeLocationAddress": "2 LIBRARY PL",
"SecondLinePracticeLocationAddress": "UNIT B",
"PracticeLocationAddressCityName": "BETHEL",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06801-2106",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "203-796-0143",
"PracticeLocationAddressFaxNumber": "203-796-0163",
"EnumerationDate": "09/11/2008",
"LastUpdateDate": "09/11/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FREDHEIM",
"AuthorizedOfficialFirstName": "HAROLD",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "PRESIDENT & CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "203-852-0773",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "335E00000X",
"TaxonomyName": "Prosthetic/Orthotic Supplier",
"LicenseNumber": null,
"LicenseNumberStateCode": "CT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}