{
"Npi": {
"NPI": "1336391176",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "IRVIN STAFFING, 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": "2875 NE 191ST ST",
"SecondLineMailingAddress": "SUITE 505",
"MailingAddressCityName": "AVENTURA",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33180-2801",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "305-935-5898",
"MailingAddressFaxNumber": "305-935-5878",
"FirstLinePracticeLocationAddress": "2875 NE 191ST ST",
"SecondLinePracticeLocationAddress": "SUITE 505",
"PracticeLocationAddressCityName": "AVENTURA",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33180-2801",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "305-935-5898",
"PracticeLocationAddressFaxNumber": "305-935-5878",
"EnumerationDate": "10/10/2008",
"LastUpdateDate": "10/10/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ESTIME-IRVIN",
"AuthorizedOfficialFirstName": "MARY",
"AuthorizedOfficialMiddleName": "C",
"AuthorizedOfficialTitle": "PRESIDENT & CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "786-663-9228",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": "230822",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}