{
"Npi": {
"NPI": "1972894657",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ROCKY HILL ADULT DAY CENTER AND IN HOME CARE 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": "15 ELM ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROCKY HILL",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06067-2305",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "860-372-4656",
"MailingAddressFaxNumber": "860-372-4676",
"FirstLinePracticeLocationAddress": "15 ELM ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ROCKY HILL",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06067-2305",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "860-372-4656",
"PracticeLocationAddressFaxNumber": "860-372-4676",
"EnumerationDate": "04/28/2011",
"LastUpdateDate": "03/18/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TATASHADZE",
"AuthorizedOfficialFirstName": "ELEONORA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/PROVIDER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "860-372-4656",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}