{
"Npi": {
"NPI": "1417280934",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GRACIA HOSPICE 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": "717 E ESPERANZA AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MCALLEN",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78501-1402",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "956-661-1177",
"MailingAddressFaxNumber": "956-661-1178",
"FirstLinePracticeLocationAddress": "717 E ESPERANZA AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MCALLEN",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78501-1402",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "956-661-1177",
"PracticeLocationAddressFaxNumber": "956-661-1178",
"EnumerationDate": "09/16/2009",
"LastUpdateDate": "08/06/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RICHARDS",
"AuthorizedOfficialFirstName": "NICOLE",
"AuthorizedOfficialMiddleName": "N.",
"AuthorizedOfficialTitle": "PARTNER/ADMINISTRATOR/ADON",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "956-661-1177",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": "013000",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}