{
"Npi": {
"NPI": "1588096580",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CIMA HOSPICE OF SAN ANTONIO",
"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": "5050 FREDERICKSBURG RD APT 103",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAN ANTONIO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78229-3648",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "210-313-5264",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "12450 NETWORK BLVD",
"SecondLinePracticeLocationAddress": "SUITE 300",
"PracticeLocationAddressCityName": "SAN ANTONIO",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78249-3341",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "210-561-5522",
"PracticeLocationAddressFaxNumber": "210-561-5633",
"EnumerationDate": "08/01/2013",
"LastUpdateDate": "08/09/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JAUBERT",
"AuthorizedOfficialFirstName": "STEVE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "NURSE PRACTITIONER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "FNP-BC",
"AuthorizedOfficialTelephoneNumber": "210-313-5264",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "315D00000X",
"TaxonomyName": "Inpatient Hospice",
"LicenseNumber": "663534",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}