{
"Npi": {
"NPI": "1740678861",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FREEHOLD HEALTHCARE, 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": "40 VREELAND AVE",
"SecondLineMailingAddress": "SUITE 107",
"MailingAddressCityName": "TOTOWA",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07512-1159",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "973-812-9777",
"MailingAddressFaxNumber": "973-812-0518",
"FirstLinePracticeLocationAddress": "680 BROADWAY",
"SecondLinePracticeLocationAddress": "SUITE 601",
"PracticeLocationAddressCityName": "PATERSON",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07514-1524",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "973-812-9777",
"PracticeLocationAddressFaxNumber": "973-812-0518",
"EnumerationDate": "12/23/2014",
"LastUpdateDate": "12/23/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NOTTE",
"AuthorizedOfficialFirstName": "ROBERT",
"AuthorizedOfficialMiddleName": "FRANK",
"AuthorizedOfficialTitle": "MANAGING MEMBER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "973-812-9777",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA0600X",
"TaxonomyName": "Adult Day Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}