{
"Npi": {
"NPI": "1457746083",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PAXTON HEALTHCARE AND REHAB LLC",
"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": "1240 N MARKET ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PAXTON",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60957-4158",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "217-379-4896",
"MailingAddressFaxNumber": "217-379-2561",
"FirstLinePracticeLocationAddress": "3856 OAKTON ST STE 200",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SKOKIE",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60076-3455",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "847-674-4700",
"PracticeLocationAddressFaxNumber": "847-674-4733",
"EnumerationDate": "03/31/2015",
"LastUpdateDate": "03/31/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JANUSZEWSKI",
"AuthorizedOfficialFirstName": "JERRY",
"AuthorizedOfficialMiddleName": "STANLEY",
"AuthorizedOfficialTitle": "CFO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "847-674-4700",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "2192487",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}