{
"Npi": {
"NPI": "1801120183",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FIRST HORIZON HOME CARE, LLC",
"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": "8000 KILPATRICK AVE",
"SecondLineMailingAddress": "UNIT 2B",
"MailingAddressCityName": "SKOKIE",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60076-3013",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "847-213-0700",
"MailingAddressFaxNumber": "847-213-0799",
"FirstLinePracticeLocationAddress": "8000 KILPATRICK AVE",
"SecondLinePracticeLocationAddress": "UNIT 2B",
"PracticeLocationAddressCityName": "SKOKIE",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60076-3013",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "847-213-0700",
"PracticeLocationAddressFaxNumber": "847-213-0799",
"EnumerationDate": "09/20/2009",
"LastUpdateDate": "09/20/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RIGODON",
"AuthorizedOfficialFirstName": "ESTRELLA",
"AuthorizedOfficialMiddleName": "CABRERA",
"AuthorizedOfficialTitle": "ADMINISTRATOR/AGENCY SUPERVISOR",
"AuthorizedOfficialNamePrefix": "MISS",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "R.N.",
"AuthorizedOfficialTelephoneNumber": "773-865-0312",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "1010975",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}