{
"Npi": {
"NPI": "1548311616",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "THOMAS HOME CARE",
"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": "5601 ASTER DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TROY",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48085-3871",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "248-220-1295",
"MailingAddressFaxNumber": "248-650-1994",
"FirstLinePracticeLocationAddress": "134 W UNIVERSITY DR",
"SecondLinePracticeLocationAddress": "SUITE #103",
"PracticeLocationAddressCityName": "ROCHESTER",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48307-1951",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "248-220-1295",
"PracticeLocationAddressFaxNumber": "248-650-1994",
"EnumerationDate": "01/16/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HANNA",
"AuthorizedOfficialFirstName": "SAMIR",
"AuthorizedOfficialMiddleName": "W",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHD P. T.",
"AuthorizedOfficialTelephoneNumber": "248-220-1295",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "5501005736",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}