{
"Npi": {
"NPI": "1093027187",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GUARDIAN ANGEL COMMUNITY SERVICES",
"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": "1550 PLAINFIELD RD.",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "JOLIET",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60435",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "815-729-0930",
"MailingAddressFaxNumber": "815-744-6087",
"FirstLinePracticeLocationAddress": "1550 PLAINFIELD RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "JOLIET",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60435-3752",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "815-729-0930",
"PracticeLocationAddressFaxNumber": "815-744-6087",
"EnumerationDate": "07/06/2010",
"LastUpdateDate": "07/06/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCHMITZ",
"AuthorizedOfficialFirstName": "SHEILA",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "815-729-0930",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253J00000X",
"TaxonomyName": "Foster Care Agency",
"LicenseNumber": "032673",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}