{
"Npi": {
"NPI": "1992008015",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BEACON ELDERCARE, INC",
"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": "19 HUDSON RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BELLEROSE VILLAGE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11001-4104",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-775-8278",
"MailingAddressFaxNumber": "866-651-3635",
"FirstLinePracticeLocationAddress": "6906 GRAND AVE",
"SecondLinePracticeLocationAddress": "SECOND FLOOR",
"PracticeLocationAddressCityName": "MASPETH",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11378-1813",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "718-406-9500",
"PracticeLocationAddressFaxNumber": "866-651-3635",
"EnumerationDate": "12/11/2010",
"LastUpdateDate": "12/11/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DROP",
"AuthorizedOfficialFirstName": "JOSEPH",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "516-775-8278",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "1476L001",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}