{
"Npi": {
"NPI": "1952620296",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PODIAS ENTERPRISES LLC DBA SYNERGY HOME CARE",
"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": "115 US HIGHWAY 46 W",
"SecondLineMailingAddress": "BUILDING D, SUITE 32",
"MailingAddressCityName": "MOUNTAIN LAKES",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07046-1668",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "973-394-5638",
"MailingAddressFaxNumber": "973-394-5630",
"FirstLinePracticeLocationAddress": "115 US HIGHWAY 46 W",
"SecondLinePracticeLocationAddress": "BUILDING D, SUITE 32",
"PracticeLocationAddressCityName": "MOUNTAIN LAKES",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07046-1668",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "973-394-5638",
"PracticeLocationAddressFaxNumber": "973-394-5630",
"EnumerationDate": "05/26/2010",
"LastUpdateDate": "07/01/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PODIAS",
"AuthorizedOfficialFirstName": "ANTONIO",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/HEAD OF OPERATIONS",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "973-394-5638",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "HP0136300",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}