{
"Npi": {
"NPI": "1629034939",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HIRAM LICENSED HOME CARE COMPANY",
"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": "2150 BLEECKER ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "UTICA",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "13501-1788",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "315-798-4833",
"MailingAddressFaxNumber": "315-798-4928",
"FirstLinePracticeLocationAddress": "2150 BLEECKER ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "UTICA",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "13501-1788",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "315-798-4833",
"PracticeLocationAddressFaxNumber": "315-798-4928",
"EnumerationDate": "04/25/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LULEY",
"AuthorizedOfficialFirstName": "WILLIAM",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "315-798-4833",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "1245L001",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}