{
"Npi": {
"NPI": "1588044788",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "OUR HEALING HEART HOMECARE, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "204 W SHAEFFER ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAN DIEGO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78384-2432",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "361-209-5035",
"MailingAddressFaxNumber": "361-209-5027",
"FirstLinePracticeLocationAddress": "5003 COUNTY ROAD 110",
"SecondLinePracticeLocationAddress": "UNIT C",
"PracticeLocationAddressCityName": "SAN DIEGO",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78384-2432",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "361-209-5035",
"PracticeLocationAddressFaxNumber": "361-209-5027",
"EnumerationDate": "06/02/2015",
"LastUpdateDate": "11/19/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BARRERA",
"AuthorizedOfficialFirstName": "LIZA",
"AuthorizedOfficialMiddleName": "MARIE",
"AuthorizedOfficialTitle": "RN/SUPERVISING NURSE",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "361-209-5035",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}