{
"Npi": {
"NPI": "1700209426",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "COMPLETE APPROACH HOME HEALTH CARE",
"ParentOrgTIN": null,
"OrgName": "COMPLETE APPROACH HOSPICE CARE",
"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": "PO BOX 405",
"SecondLineMailingAddress": "204 WEST TEXAS AVENUE",
"MailingAddressCityName": "WASKOM",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75692-0405",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "903-687-2399",
"MailingAddressFaxNumber": "903-687-2383",
"FirstLinePracticeLocationAddress": "204 WEST TEXAS AVE.",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WASKOM",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75692",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "903-687-2399",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/31/2014",
"LastUpdateDate": "01/31/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BARNES",
"AuthorizedOfficialFirstName": "GWENDOLYN",
"AuthorizedOfficialMiddleName": "P",
"AuthorizedOfficialTitle": "OWNER/ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "903-687-2399",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}