{
"Npi": {
"NPI": "1326083395",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "UCM HOME CARE",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "ONE INGALLS DRIVE",
"SecondLineMailingAddress": "WYMAN GORDON PAVILION",
"MailingAddressCityName": "HARVEY",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60426",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "708-331-0226",
"MailingAddressFaxNumber": "708-915-2749",
"FirstLinePracticeLocationAddress": "ONE INGALLS DRIVE",
"SecondLinePracticeLocationAddress": "WYMAN GORDON PAVILION",
"PracticeLocationAddressCityName": "HARVEY",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60426",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "708-331-0226",
"PracticeLocationAddressFaxNumber": "708-915-2749",
"EnumerationDate": "06/16/2006",
"LastUpdateDate": "01/30/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FELIKSIK",
"AuthorizedOfficialFirstName": "SANDRA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ASSISTANT DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "708-331-0226",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": "2001030",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}