{
"Npi": {
"NPI": "1245463652",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "IDEAL CARE HOME HEALTH, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6348 OAKTON ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MORTON GROVE",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60053-2723",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "847-749-8333",
"MailingAddressFaxNumber": "224-374-1956",
"FirstLinePracticeLocationAddress": "6348 OAKTON ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MORTON GROVE",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60053-2723",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "847-749-8333",
"PracticeLocationAddressFaxNumber": "224-374-1956",
"EnumerationDate": "09/01/2009",
"LastUpdateDate": "11/15/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HUTCH",
"AuthorizedOfficialFirstName": "JODI",
"AuthorizedOfficialMiddleName": "KAY",
"AuthorizedOfficialTitle": "OPERATIONS MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "847-749-0833",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "1011114",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}