{
"Npi": {
"NPI": "1649409053",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SIGNATURE HOME HEALTH CARE 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": "30050 HOOVER RD",
"SecondLineMailingAddress": "SUITE H",
"MailingAddressCityName": "WARREN",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48093-2544",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "313-377-5818",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "30050 HOOVER RD",
"SecondLinePracticeLocationAddress": "SUITE H",
"PracticeLocationAddressCityName": "WARREN",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48093-2544",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "313-377-5818",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/07/2009",
"LastUpdateDate": "07/07/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FAZAL",
"AuthorizedOfficialFirstName": "MUHAMMAD",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PT",
"AuthorizedOfficialTelephoneNumber": "313-377-5818",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}