{
"Npi": {
"NPI": "1912399890",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JJD SENIOR SERVICES,LLC",
"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": "831-38 ROUTE 10 EAST",
"SecondLineMailingAddress": "SUITE 276",
"MailingAddressCityName": "WHIPPANY",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07981",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "973-435-4873",
"MailingAddressFaxNumber": "619-376-1833",
"FirstLinePracticeLocationAddress": "78 DEFOREST AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "EAST HANOVER",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07936-2811",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "973-435-4873",
"PracticeLocationAddressFaxNumber": "619-376-1833",
"EnumerationDate": "03/02/2015",
"LastUpdateDate": "03/02/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DOREY",
"AuthorizedOfficialFirstName": "DORIS",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MANAGING PARTNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "973-435-4873",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": "HP0182600",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}