{
"Npi": {
"NPI": "1073790515",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "CARESTAF OF DALLAS L.P",
"ParentOrgTIN": null,
"OrgName": "CARESTAF OF DALLAS L.P",
"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": "1341 W MOCKINGBIRD LANE",
"SecondLineMailingAddress": "SUITE 242 W",
"MailingAddressCityName": "DALLAS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75247",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "214-630-8844",
"MailingAddressFaxNumber": "214-630-5115",
"FirstLinePracticeLocationAddress": "1500 W 38TH ST",
"SecondLinePracticeLocationAddress": "SUITE 32",
"PracticeLocationAddressCityName": "AUSTIN",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78731",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "512-380-6006",
"PracticeLocationAddressFaxNumber": "512-380-6007",
"EnumerationDate": "01/28/2008",
"LastUpdateDate": "07/01/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TIPS",
"AuthorizedOfficialFirstName": "BELINDA",
"AuthorizedOfficialMiddleName": "H",
"AuthorizedOfficialTitle": "VICE PRESIDENT",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "214-630-8844",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251J00000X",
"TaxonomyName": "Nursing Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}