{
"Npi": {
"NPI": "1336481258",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BELLA HOSPICE AND HEALTHCARE LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
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"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "560 N KIMBALL AVE STE 140",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SOUTHLAKE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76092-6685",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "888-450-2884",
"MailingAddressFaxNumber": "817-632-3225",
"FirstLinePracticeLocationAddress": "560 N KIMBALL AVE STE 140",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SOUTHLAKE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76092-6685",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "888-450-2884",
"PracticeLocationAddressFaxNumber": "817-632-3225",
"EnumerationDate": "03/18/2013",
"LastUpdateDate": "11/03/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HERNANDEZ",
"AuthorizedOfficialFirstName": "DAVID",
"AuthorizedOfficialMiddleName": "PAUL",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "888-450-2884",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}