{
"Npi": {
"NPI": "1619219219",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HARTFORD HOSPITAL",
"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": "860 PALISADO AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WINDSOR",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06095",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "860-371-4359",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "200 RETREAT ST",
"SecondLinePracticeLocationAddress": "INSTITUTE OF LIVING,",
"PracticeLocationAddressCityName": "HARTFORD",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06102",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "860-545-7767",
"PracticeLocationAddressFaxNumber": "860-545-7797",
"EnumerationDate": "03/21/2013",
"LastUpdateDate": "03/21/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ANDERSON",
"AuthorizedOfficialFirstName": "KAREN",
"AuthorizedOfficialMiddleName": "LEE",
"AuthorizedOfficialTitle": "NURSE MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "APRN",
"AuthorizedOfficialTelephoneNumber": "860-545-7767",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "283Q00000X",
"TaxonomyName": "Psychiatric Hospital",
"LicenseNumber": "004683",
"LicenseNumberStateCode": "CT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}