{
"Npi": {
"NPI": "1780130070",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "KINGSWAY HOME CARE SERVICE, INC.",
"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": "321 KINGS RD",
"SecondLineMailingAddress": "C#5",
"MailingAddressCityName": "SCHENECTADY",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12304-3697",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "518-382-8187",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "321 KINGS RD",
"SecondLinePracticeLocationAddress": "C#5",
"PracticeLocationAddressCityName": "SCHENECTADY",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "12304-3645",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "518-382-8187",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/28/2016",
"LastUpdateDate": "08/28/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JESEO-KUTEY",
"AuthorizedOfficialFirstName": "RHONDA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MISS",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN, BSN",
"AuthorizedOfficialTelephoneNumber": "518-382-8187",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "9952L001",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}