{
"Npi": {
"NPI": "1225498942",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "IHOME REHAB,LLC",
"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": "107 JERICHO TPKE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FLORAL PARK",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11001-2023",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "212-603-9299",
"MailingAddressFaxNumber": "212-603-9921",
"FirstLinePracticeLocationAddress": "344 JERICHO TPKE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FLORAL PARK",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11001-2173",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "212-603-9299",
"PracticeLocationAddressFaxNumber": "212-603-9921",
"EnumerationDate": "02/24/2016",
"LastUpdateDate": "02/24/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ALAYEV",
"AuthorizedOfficialFirstName": "SHIMON",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MEMBER OF LLC/PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DME COMPANY",
"AuthorizedOfficialTelephoneNumber": "212-603-9299",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "2022075-DCA",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}