{
"Npi": {
"NPI": "1790677839",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FREEDOMCARE OF NEW HAMPSHIRE 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": "1979 MARCUS AVE STE C115",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEW HYDE PARK",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11042-1126",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "866-845-9978",
"MailingAddressFaxNumber": "718-989-3734",
"FirstLinePracticeLocationAddress": "1045 ELM STREET",
"SecondLinePracticeLocationAddress": "SUITE 204",
"PracticeLocationAddressCityName": "MANCHESTER",
"PracticeLocationAddressStateName": "NH",
"PracticeLocationAddressPostalCode": "03101",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "603-688-8913",
"PracticeLocationAddressFaxNumber": "603-945-2553",
"EnumerationDate": "07/15/2025",
"LastUpdateDate": "07/15/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SMITH",
"AuthorizedOfficialFirstName": "KENNETH",
"AuthorizedOfficialMiddleName": "JOHN",
"AuthorizedOfficialTitle": "LEADER, NATIONAL EXPANSION",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MSM",
"AuthorizedOfficialTelephoneNumber": "617-959-4115",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}