{
"Npi": {
"NPI": "1265053391",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "001CARE INC",
"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": "304 W MAIN ST STE 2-1052",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "AVON",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06001-4355",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "214-450-2340",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "20 TOWER LANE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "AVON",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06001",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "214-450-2340",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/29/2020",
"LastUpdateDate": "05/01/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "YOUNG",
"AuthorizedOfficialFirstName": "WILDA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "214-450-2340",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}