{
"Npi": {
"NPI": "1962638379",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ABC HOME HEALTH SERVICES, 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": "3830 W 95TH ST",
"SecondLineMailingAddress": "SUITE # 3",
"MailingAddressCityName": "EVERGREEN PARK",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60805-2004",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": "708-907-5742",
"FirstLinePracticeLocationAddress": "3830 W 95TH ST",
"SecondLinePracticeLocationAddress": "SUITE # 3",
"PracticeLocationAddressCityName": "EVERGREEN PARK",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60805-2004",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "708-499-7030",
"PracticeLocationAddressFaxNumber": "708-907-5742",
"EnumerationDate": "06/01/2009",
"LastUpdateDate": "12/17/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BELL",
"AuthorizedOfficialFirstName": "CHRISTINE",
"AuthorizedOfficialMiddleName": "CLARK",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "BSN RN",
"AuthorizedOfficialTelephoneNumber": "708-499-7030",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}