{
"Npi": {
"NPI": "1558496323",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "PGM HEALTHCARE INC.",
"ParentOrgTIN": null,
"OrgName": "NEW ENGLAND HOSPICE II LLC",
"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": "190 OLD DERBY STREET",
"SecondLineMailingAddress": "STE 304",
"MailingAddressCityName": "HINGHAM",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "02043",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "781-749-2900",
"MailingAddressFaxNumber": "781-749-2950",
"FirstLinePracticeLocationAddress": "190 OLD DERBY STREET",
"SecondLinePracticeLocationAddress": "STE 304",
"PracticeLocationAddressCityName": "HINGHAM",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "02043",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "781-749-2900",
"PracticeLocationAddressFaxNumber": "781-749-2950",
"EnumerationDate": "02/22/2007",
"LastUpdateDate": "07/14/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ESTEY",
"AuthorizedOfficialFirstName": "GREGG",
"AuthorizedOfficialMiddleName": "ALLEN",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MA",
"AuthorizedOfficialTelephoneNumber": "781-544-7723",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": "221563",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}