{
"Npi": {
"NPI": "1639945058",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MEDI STAFF SOLUTIONS",
"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": "555 HUBBARD AVE STE 15",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PITTSFIELD",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "01201-3841",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "555 HUBBARD AVE STE 15",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PITTSFIELD",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "01201-3841",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "888-984-7707",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/27/2023",
"LastUpdateDate": "11/27/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MC CONNELL",
"AuthorizedOfficialFirstName": "TEMIA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "888-984-7707",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "376G00000X",
"TaxonomyName": "Nursing Home Administrator",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}