{
"Npi": {
"NPI": "1285735597",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FRESNO HEALTH CARE SERVICES, INC",
"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": "10707 CORPORATE DR",
"SecondLineMailingAddress": "SUITE 106",
"MailingAddressCityName": "STAFFORD",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77477-4095",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "713-234-7301",
"MailingAddressFaxNumber": "713-234-7309",
"FirstLinePracticeLocationAddress": "10707 CORPORATE DRIVE",
"SecondLinePracticeLocationAddress": "SUITE 106",
"PracticeLocationAddressCityName": "STAFFORD",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77477-4001",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "713-234-7301",
"PracticeLocationAddressFaxNumber": "713-234-7309",
"EnumerationDate": "09/26/2006",
"LastUpdateDate": "03/01/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ALOZIE",
"AuthorizedOfficialFirstName": "SYLVA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DIRECTOR OF NURSING",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "713-275-2064",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "313M00000X",
"TaxonomyName": "Nursing Facility/Intermediate Care Facility",
"LicenseNumber": "703802",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}