{
"Npi": {
"NPI": "1194152967",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JTR HEALTHCARE SOLUTIONS LLC",
"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": "2320 PASEO DEL PRADO",
"SecondLineMailingAddress": "SUITE B307",
"MailingAddressCityName": "LAS VEGAS",
"MailingAddressStateName": "NV",
"MailingAddressPostalCode": "89102-4358",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "702-628-8423",
"MailingAddressFaxNumber": "702-834-4848",
"FirstLinePracticeLocationAddress": "2320 PASEO DEL PRADO",
"SecondLinePracticeLocationAddress": "SUITE B307",
"PracticeLocationAddressCityName": "LAS VEGAS",
"PracticeLocationAddressStateName": "NV",
"PracticeLocationAddressPostalCode": "89102-4358",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "702-628-8423",
"PracticeLocationAddressFaxNumber": "702-834-4848",
"EnumerationDate": "10/10/2013",
"LastUpdateDate": "01/14/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SEDANO",
"AuthorizedOfficialFirstName": "ROMEO",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "B.S. MANAGEMENT",
"AuthorizedOfficialTelephoneNumber": "702-628-8423",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "NV20131251195",
"LicenseNumberStateCode": "NV",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}