{
"Npi": {
"NPI": "1528366564",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HEART OF ANGELS PRIMARY HOMECARE",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3316 MONCLOVA DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAREDO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78046-8787",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "956-726-9930",
"MailingAddressFaxNumber": "956-726-9935",
"FirstLinePracticeLocationAddress": "3316 MONCLOVA DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAREDO",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78046-8787",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "956-726-9930",
"PracticeLocationAddressFaxNumber": "956-726-9935",
"EnumerationDate": "02/28/2011",
"LastUpdateDate": "02/28/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RODRIGUEZ",
"AuthorizedOfficialFirstName": "JUANITA",
"AuthorizedOfficialMiddleName": "R",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "R.N.",
"AuthorizedOfficialTelephoneNumber": "956-726-9930",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": "578305",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}