{
"Npi": {
"NPI": "1194153783",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "AMERICAN HOMECARE SERVICES INC",
"ParentOrgTIN": null,
"OrgName": "AMERICAN HOMECARE SERVICES 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": "4245 S BEECH DALY ST",
"SecondLineMailingAddress": "SUITE 202",
"MailingAddressCityName": "DEARBORN HEIGHTS",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48125-1576",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "313-277-5225",
"MailingAddressFaxNumber": "313-277-5502",
"FirstLinePracticeLocationAddress": "4245 S BEECH DALY ST",
"SecondLinePracticeLocationAddress": "SUITE 202",
"PracticeLocationAddressCityName": "DEARBORN HEIGHTS",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48125-1576",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "313-277-5225",
"PracticeLocationAddressFaxNumber": "313-277-5502",
"EnumerationDate": "10/17/2013",
"LastUpdateDate": "10/17/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MIRZA",
"AuthorizedOfficialFirstName": "NAFIS",
"AuthorizedOfficialMiddleName": "ARSHED",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.COM",
"AuthorizedOfficialTelephoneNumber": "734-846-4483",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}