{
"Npi": {
"NPI": "1396136537",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NEW AGE ADULT DAY CARE, 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": "PO BOX 1768",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PHARR",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78577-1633",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "956-212-8408",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "105 E INTERSTATE 2",
"SecondLinePracticeLocationAddress": "SUITE E",
"PracticeLocationAddressCityName": "PHARR",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78577-6562",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "956-212-8408",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/10/2015",
"LastUpdateDate": "02/10/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SANIN",
"AuthorizedOfficialFirstName": "MARIA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "956-212-8408",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA0600X",
"TaxonomyName": "Adult Day Care Clinic/Center",
"LicenseNumber": "137993",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}