{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "CAVA CARE AT HOME CORP",
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"FirstLineMailingAddress": "42 BROADWAY",
"SecondLineMailingAddress": null,
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"MailingAddressStateName": "NY",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-710-6820",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "46 BOXWOOD IN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HICKSVILLE",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressCountryCode": "US",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/06/2026",
"LastUpdateDate": "01/06/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CAEZ",
"AuthorizedOfficialFirstName": "CARMEN",
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"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "ADULT CARE HOME",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Adult Care Home Facility",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}