{
"Npi": {
"NPI": "1528906179",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ASSURE HOSPICE 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": "28140 N BRADLEY RD STE B",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LIBERTYVILLE",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60048-9621",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "847-297-4444",
"MailingAddressFaxNumber": "847-297-4447",
"FirstLinePracticeLocationAddress": "28140 N BRADLEY RD STE B",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LIBERTYVILLE",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60048-9621",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "847-297-4444",
"PracticeLocationAddressFaxNumber": "847-297-4447",
"EnumerationDate": "03/24/2026",
"LastUpdateDate": "03/24/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MAHINAY",
"AuthorizedOfficialFirstName": "ILDEBRANDO",
"AuthorizedOfficialMiddleName": "RESPICIO",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "847-456-9871",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}