{
"Npi": {
"NPI": "1477765436",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ACCELERATED HOME CARE L.L.C.",
"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": "830 E HIGGINS RD STE 101",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SCHAUMBURG",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60173-4792",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "847-258-3630",
"MailingAddressFaxNumber": "847-841-3738",
"FirstLinePracticeLocationAddress": "830 E HIGGINS RD",
"SecondLinePracticeLocationAddress": "SUITE #101",
"PracticeLocationAddressCityName": "SCHAUMBURG",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60173-4797",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "847-258-3630",
"PracticeLocationAddressFaxNumber": "847-378-8439",
"EnumerationDate": "05/04/2007",
"LastUpdateDate": "11/02/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TONGSON",
"AuthorizedOfficialFirstName": "WILLIE",
"AuthorizedOfficialMiddleName": "T",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "773-727-4149",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "1010702",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}