{
"Npi": {
"NPI": "1811378623",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FINS HEALTHCARE AGENCY",
"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": "3612 LINCOHN HIGHWAY",
"SecondLineMailingAddress": "SUITE 19",
"MailingAddressCityName": "OLYMPIA FIELDS",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60461",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "708-612-1144",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3612 LINCOHN HIGHWAY",
"SecondLinePracticeLocationAddress": "SUITE 19",
"PracticeLocationAddressCityName": "OLYMPIA FIELDS",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60461",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "708-571-3467",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/17/2015",
"LastUpdateDate": "12/18/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OLAOYE",
"AuthorizedOfficialFirstName": "IDAYAT",
"AuthorizedOfficialMiddleName": "ABIMBOLA",
"AuthorizedOfficialTitle": "CHIEF EXECUTIVE DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN, BSN,CMSRN",
"AuthorizedOfficialTelephoneNumber": "708-612-1144",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251J00000X",
"TaxonomyName": "Nursing Care Agency",
"LicenseNumber": "2015-N1341",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}