{
"Npi": {
"NPI": "1245688050",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOSPICE OF SOUTHERN ARKANSAS",
"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": "5314 S YALE AVE",
"SecondLineMailingAddress": "STE 420",
"MailingAddressCityName": "TULSA",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "74135-6256",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "405-412-4909",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "640 OAKLAND AVENUE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HELENA",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "72342-1504",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "870-753-4200",
"PracticeLocationAddressFaxNumber": "870-292-3511",
"EnumerationDate": "06/02/2016",
"LastUpdateDate": "06/02/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LACKNER",
"AuthorizedOfficialFirstName": "CHRIS",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DELEGATED OFFICIAL",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "405-412-4909",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": "AR5167",
"LicenseNumberStateCode": "AR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}