{
"Npi": {
"NPI": "1235511569",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PARISKO INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "388 E MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BRANFORD",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06405-2914",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "203-433-5660",
"MailingAddressFaxNumber": "203-648-4184",
"FirstLinePracticeLocationAddress": "388 E MAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BRANFORD",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06405-2914",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "203-433-5660",
"PracticeLocationAddressFaxNumber": "203-648-4184",
"EnumerationDate": "06/23/2015",
"LastUpdateDate": "06/23/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RISKO",
"AuthorizedOfficialFirstName": "PATRICK",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "203-433-5660",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": "HCA.0000995",
"LicenseNumberStateCode": "CT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}