{
"Npi": {
"NPI": "1164831046",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AWAKENED ALTERNATIVES 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": "548 MARIE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SOUTH HOLLAND",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60473-2232",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "773-544-9380",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3235 VOLLMER RD",
"SecondLinePracticeLocationAddress": "STE. 200",
"PracticeLocationAddressCityName": "FLOSSMOOR",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60422-2013",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "708-748-1520",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/05/2014",
"LastUpdateDate": "08/05/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "THOMAS",
"AuthorizedOfficialFirstName": "GENEVIEVE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "R.N, MSN",
"AuthorizedOfficialTelephoneNumber": "708-748-1520",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "251J00000X",
"TaxonomyName": "Nursing Care Agency",
"LicenseNumber": "041335162",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "251J00000X",
"TaxonomyName": "Nursing Care Agency",
"LicenseNumber": "209011553",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}