{
"Npi": {
"NPI": "1972533735",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HARMONY HOME HEALTH AGENCY, 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": "245 W ROOSEVELT RD BLDG 130-131",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WEST CHICAGO",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60185-3739",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "708-274-4420",
"MailingAddressFaxNumber": "708-274-4427",
"FirstLinePracticeLocationAddress": "245 W ROOSEVELT RD # 130-131",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WEST CHICAGO",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60185-3739",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "708-274-4420",
"PracticeLocationAddressFaxNumber": "708-274-4427",
"EnumerationDate": "07/04/2006",
"LastUpdateDate": "02/27/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GERONIMO",
"AuthorizedOfficialFirstName": "FLORENCIO",
"AuthorizedOfficialMiddleName": "D.",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "708-274-4420",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "1010530",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}