{
"Npi": {
"NPI": "1669771044",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "KENNEY ENTERPRISES 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": "6 LYNDE ST # UL",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SALEM",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "01970-3404",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "978-744-5151",
"MailingAddressFaxNumber": "978-744-5885",
"FirstLinePracticeLocationAddress": "19 FRONT ST",
"SecondLinePracticeLocationAddress": "SUITE 301",
"PracticeLocationAddressCityName": "SALEM",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "01970-3792",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "978-744-5151",
"PracticeLocationAddressFaxNumber": "978-744-5885",
"EnumerationDate": "03/24/2011",
"LastUpdateDate": "07/09/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DOHERTY",
"AuthorizedOfficialFirstName": "ROSALEEN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CO-OWNER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "978-744-5151",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "6057",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}