{
"Npi": {
"NPI": "1679518898",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PIONEER HEALTHCARE MANAGEMENT, 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": "2720 S RIVER RD",
"SecondLineMailingAddress": "SUITE 233",
"MailingAddressCityName": "DES PLAINES",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60018-4106",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "773-628-7493",
"MailingAddressFaxNumber": "773-628-7503",
"FirstLinePracticeLocationAddress": "6232 N PULASKI RD",
"SecondLinePracticeLocationAddress": "SUITE 404",
"PracticeLocationAddressCityName": "CHICAGO",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60646-5132",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "773-628-7493",
"PracticeLocationAddressFaxNumber": "773-628-7503",
"EnumerationDate": "06/19/2006",
"LastUpdateDate": "12/09/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PARADERO",
"AuthorizedOfficialFirstName": "LORELIE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN, BSN",
"AuthorizedOfficialTelephoneNumber": "773-628-7493",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "1010291",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}