{
"Npi": {
"NPI": "1346601838",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "RAINBOW CENTER OF MICHIGAN",
"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": "12501 HAMILTON AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HIGHLAND PARK",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48203-3243",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "313-989-3743",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "12501 HAMILTON AVE.",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HIGHLAND PARK",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48203",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "313-989-3743",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/11/2016",
"LastUpdateDate": "03/11/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COOK",
"AuthorizedOfficialFirstName": "PAULA",
"AuthorizedOfficialMiddleName": "DENISE",
"AuthorizedOfficialTitle": "NURSE",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LPN",
"AuthorizedOfficialTelephoneNumber": "313-989-3743",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "302R00000X",
"TaxonomyName": "Health Maintenance Organization",
"LicenseNumber": "4703114372",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}