{
"Npi": {
"NPI": "1730636507",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CAMAHALODE, INC.",
"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": "80 SCHOOL LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORRISTOWN",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19403-3027",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "215-696-0389",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "708 LAKESIDE PARK",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SOUTHAMPTON",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "18966-4020",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "215-750-8802",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/08/2016",
"LastUpdateDate": "12/09/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SIERKA",
"AuthorizedOfficialFirstName": "ERIC",
"AuthorizedOfficialMiddleName": "CARL",
"AuthorizedOfficialTitle": "PRESIDENT/OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "215-696-0389",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "05310501",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": "12993601",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}