{
"Npi": {
"NPI": "1770871139",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MAG HOME CARE, 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": "6 UNIVERSITY DR",
"SecondLineMailingAddress": "SUITE 206, PMB 159",
"MailingAddressCityName": "AMHERST",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "01002-2360",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "413-461-6692",
"MailingAddressFaxNumber": "413-323-5673",
"FirstLinePracticeLocationAddress": "233 MUNSELL ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BELCHERTOWN",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "01007-9788",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "413-461-6692",
"PracticeLocationAddressFaxNumber": "413-323-5673",
"EnumerationDate": "07/19/2011",
"LastUpdateDate": "07/19/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ESSIS",
"AuthorizedOfficialFirstName": "MARITZA",
"AuthorizedOfficialMiddleName": "DIANE",
"AuthorizedOfficialTitle": "VICE PRESIDENT",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "413-461-6692",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}