{
"Npi": {
"NPI": "1356342695",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MALIK CORPORATION",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2732 BLOOMFIELD RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CAPE GIRARDEAU",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63703-6302",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "573-335-3044",
"MailingAddressFaxNumber": "573-335-6724",
"FirstLinePracticeLocationAddress": "1349 HIGHWAY 61",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FESTUS",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "63028-4107",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "636-937-3500",
"PracticeLocationAddressFaxNumber": "636-931-2646",
"EnumerationDate": "08/09/2005",
"LastUpdateDate": "04/22/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MALIK",
"AuthorizedOfficialFirstName": "SHAFIQ",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT/OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "573-335-3044",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "029594",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}