{
"Npi": {
"NPI": "1295981223",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ASSISTED INDEPENDENCE SERVICES, 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": "3455 STATE ROUTE 66",
"SecondLineMailingAddress": "SUITE 3",
"MailingAddressCityName": "NEPTUNE",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07753-2758",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "732-922-4100",
"MailingAddressFaxNumber": "732-210-0366",
"FirstLinePracticeLocationAddress": "3455 STATE ROUTE 66",
"SecondLinePracticeLocationAddress": "SUITE 3",
"PracticeLocationAddressCityName": "NEPTUNE",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07753-2758",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "732-922-4100",
"PracticeLocationAddressFaxNumber": "732-210-0366",
"EnumerationDate": "08/11/2008",
"LastUpdateDate": "03/21/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DAUGHERTY",
"AuthorizedOfficialFirstName": "THOMAS",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "732-922-4100",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "HP0090900",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}