{
"Npi": {
"NPI": "1295934354",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MCCASKILL HEALTH CARE, LLC",
"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": "1501 7TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WICHITA FALLS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76301-3103",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "940-322-0741",
"MailingAddressFaxNumber": "940-322-1845",
"FirstLinePracticeLocationAddress": "1501 7TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WICHITA FALLS",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76301-3103",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "940-322-0741",
"PracticeLocationAddressFaxNumber": "940-322-1845",
"EnumerationDate": "07/17/2007",
"LastUpdateDate": "01/07/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCCASKILL",
"AuthorizedOfficialFirstName": "DONALD",
"AuthorizedOfficialMiddleName": "B",
"AuthorizedOfficialTitle": "SOLE MEMBER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "CNHA",
"AuthorizedOfficialTelephoneNumber": "918-534-6121",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "120857",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}