{
"Npi": {
"NPI": "1114152295",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ACCLAIM HOME CARE SERVICES, INC.",
"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": "6412 N UNIVERSITY DRIVE",
"SecondLineMailingAddress": "SUITE 130",
"MailingAddressCityName": "TAMARAC",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33321",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-780-3717",
"MailingAddressFaxNumber": "954-780-7199",
"FirstLinePracticeLocationAddress": "6412 N UNIVERSITY DRIVE",
"SecondLinePracticeLocationAddress": "SUITE 130",
"PracticeLocationAddressCityName": "TAMARAC",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33321",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-780-3717",
"PracticeLocationAddressFaxNumber": "954-780-7199",
"EnumerationDate": "05/19/2009",
"LastUpdateDate": "05/19/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DYER",
"AuthorizedOfficialFirstName": "ROSEMARIE",
"AuthorizedOfficialMiddleName": "A.",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "954-780-3717",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "299992969",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}