{
"Npi": {
"NPI": "1811076474",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "PEOPLE INC.",
"ParentOrgTIN": null,
"OrgName": "PEOPLE HOME HEALTH CARE SERVICES LICENSED, INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1219 N FOREST RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WILLIAMSVILLE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "14221-3292",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "716-634-8132",
"MailingAddressFaxNumber": "716-874-0388",
"FirstLinePracticeLocationAddress": "692 MILLERSPORT HWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "AMHERST",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "14226-2401",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "716-874-5600",
"PracticeLocationAddressFaxNumber": "716-874-0388",
"EnumerationDate": "11/03/2006",
"LastUpdateDate": "01/27/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WILKINS",
"AuthorizedOfficialFirstName": "JACOB",
"AuthorizedOfficialMiddleName": "TROY",
"AuthorizedOfficialTitle": "ADMINISTRATOR/VICE PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "716-874-5600",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "9336L001",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}