{
"Npi": {
"NPI": "1699862235",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "RESURRECTION HOME HEALTH SERVICES",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5747 DEMPSTER ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MORTON GROVE",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60053-3056",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "847-568-4500",
"MailingAddressFaxNumber": "847-568-8635",
"FirstLinePracticeLocationAddress": "7420 CENTRAL AVE",
"SecondLinePracticeLocationAddress": "SUITE 2030",
"PracticeLocationAddressCityName": "RIVER FOREST",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60305-1800",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "708-383-4663",
"PracticeLocationAddressFaxNumber": "708-763-2176",
"EnumerationDate": "10/06/2006",
"LastUpdateDate": "04/20/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GALLUPPI",
"AuthorizedOfficialFirstName": "THOMAS",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "CONTROLLER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "847-568-8524",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "1008036",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}