{
"Npi": {
"NPI": "1730622796",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MG ROHAN, INC.",
"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": "930 N YORK RD",
"SecondLineMailingAddress": "SUITE 150",
"MailingAddressCityName": "HINSDALE",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60521-2991",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "630-920-9999",
"MailingAddressFaxNumber": "630-920-8453",
"FirstLinePracticeLocationAddress": "930 N YORK RD",
"SecondLinePracticeLocationAddress": "SUITE 150",
"PracticeLocationAddressCityName": "HINSDALE",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60521-2991",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "630-920-9999",
"PracticeLocationAddressFaxNumber": "630-920-8453",
"EnumerationDate": "11/23/2016",
"LastUpdateDate": "11/23/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROHAN",
"AuthorizedOfficialFirstName": "MICHAEL",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT/OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "630-920-9999",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": "3000134",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}