{
"Npi": {
"NPI": "1457677353",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FMR HOME HEALTH 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": "2122 S 17TH AVE FL 1",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BROADVIEW",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60155-3020",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "708-562-0192",
"MailingAddressFaxNumber": "708-562-0365",
"FirstLinePracticeLocationAddress": "2122 S 17TH AVE FL 1",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BROADVIEW",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60155-3020",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "708-562-0192",
"PracticeLocationAddressFaxNumber": "708-562-0365",
"EnumerationDate": "04/16/2010",
"LastUpdateDate": "05/24/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MALANYAON",
"AuthorizedOfficialFirstName": "MERLE",
"AuthorizedOfficialMiddleName": "GUARTE",
"AuthorizedOfficialTitle": "AGENCY SUPERVISOR/PRESIDENT",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN, BSN",
"AuthorizedOfficialTelephoneNumber": "708-562-0192",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}