{
"Npi": {
"NPI": "1003128984",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "FIRST CARE 506 LLC",
"ParentOrgTIN": null,
"OrgName": "FIRST CARE",
"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": "506 W MARION AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CRYSTAL SPRINGS",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39059-2711",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "601-892-7350",
"MailingAddressFaxNumber": "601-892-7351",
"FirstLinePracticeLocationAddress": "506 W MARION AVE",
"SecondLinePracticeLocationAddress": "SUITE H",
"PracticeLocationAddressCityName": "CRYSTAL SPRINGS",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "39059-2711",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "601-892-7350",
"PracticeLocationAddressFaxNumber": "601-892-7351",
"EnumerationDate": "07/08/2010",
"LastUpdateDate": "07/08/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LAWRENCE",
"AuthorizedOfficialFirstName": "LACARINGTON",
"AuthorizedOfficialMiddleName": "DOMINIQUE",
"AuthorizedOfficialTitle": "OFFICE MANGER",
"AuthorizedOfficialNamePrefix": "MISS",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "CNA",
"AuthorizedOfficialTelephoneNumber": "601-892-7350",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251J00000X",
"TaxonomyName": "Nursing Care Agency",
"LicenseNumber": "AO62588",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}