{
"Npi": {
"NPI": "1669718342",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ANGELS ON CALL HOMECARE LLC",
"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": "667 STONELEIGH AVE",
"SecondLineMailingAddress": "SUITE 302A",
"MailingAddressCityName": "CARMEL",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10512-2454",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "845-628-2255",
"MailingAddressFaxNumber": "845-628-2258",
"FirstLinePracticeLocationAddress": "667 STONELEIGH AVE",
"SecondLinePracticeLocationAddress": "SUITE 302A",
"PracticeLocationAddressCityName": "CARMEL",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10512-2454",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "845-628-2255",
"PracticeLocationAddressFaxNumber": "845-628-2258",
"EnumerationDate": "12/27/2012",
"LastUpdateDate": "04/28/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FITZPATRICK",
"AuthorizedOfficialFirstName": "PAMELA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "845-628-2255",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "1807L001",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}