{
"Npi": {
"NPI": "1306052469",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "UNITED COMMUNITY & FAMILY 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": "165 MCKINLEY AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORWICH",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06360-3509",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "860-889-5005",
"MailingAddressFaxNumber": "860-892-2340",
"FirstLinePracticeLocationAddress": "165 MCKINLEY AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORWICH",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06360-3509",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "860-889-5005",
"PracticeLocationAddressFaxNumber": "860-892-2340",
"EnumerationDate": "05/15/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHAW",
"AuthorizedOfficialFirstName": "JULIE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CHIEF FINANCIAL OFFICER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "860-889-2375",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA0600X",
"TaxonomyName": "Adult Day Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}