{
"Npi": {
"NPI": "1275989766",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ELDER CARE STAFFING SOLUTIONS 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": "336 ROUTE 202",
"SecondLineMailingAddress": "SUITE #3",
"MailingAddressCityName": "SOMERS",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10589-3220",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "914-669-5200",
"MailingAddressFaxNumber": "914-669-5400",
"FirstLinePracticeLocationAddress": "336 ROUTE 202",
"SecondLinePracticeLocationAddress": "SUITE #3",
"PracticeLocationAddressCityName": "SOMERS",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10589-3220",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "914-669-5200",
"PracticeLocationAddressFaxNumber": "914-669-5400",
"EnumerationDate": "05/13/2016",
"LastUpdateDate": "05/13/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COGNETTA",
"AuthorizedOfficialFirstName": "GRACE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/SECRETARY",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "R.N",
"AuthorizedOfficialTelephoneNumber": "914-669-5200",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "1470L001",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}