{
"Npi": {
"NPI": "1356554612",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PREMIER HOME HEALTH CARE SERVICES, 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": "272 NUBER AVE",
"SecondLineMailingAddress": "MOUNT VERNON",
"MailingAddressCityName": "MOUNT VERNON",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10553-1408",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "914-668-4544",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "272 NUBER AVE",
"SecondLinePracticeLocationAddress": "#2",
"PracticeLocationAddressCityName": "MOUNT VERNON",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10553-1408",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "914-668-4544",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/07/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HUGGINS",
"AuthorizedOfficialFirstName": "FAITH",
"AuthorizedOfficialMiddleName": "KAREN",
"AuthorizedOfficialTitle": "FIELD NURSE SUPERVISOR, BRONX",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "718-828-4700",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "429750",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}