{
"Npi": {
"NPI": "1801912050",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BIG COUNTRY HEALTHCARE SERVICES LLC",
"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": "749 GATEWAY ST. BUILDING F",
"SecondLineMailingAddress": "SUITE 702",
"MailingAddressCityName": "ABILENE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "79602-1196",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "325-675-0559",
"MailingAddressFaxNumber": "325-675-0591",
"FirstLinePracticeLocationAddress": "749 GATEWAY ST. BUILDING F",
"SecondLinePracticeLocationAddress": "SUITE 702",
"PracticeLocationAddressCityName": "ABILENE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "79602-1196",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "325-675-0559",
"PracticeLocationAddressFaxNumber": "325-675-0591",
"EnumerationDate": "03/21/2007",
"LastUpdateDate": "04/01/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HUDSON",
"AuthorizedOfficialFirstName": "JOHNNIE",
"AuthorizedOfficialMiddleName": "CHRISTINE",
"AuthorizedOfficialTitle": "OWNER/ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "325-675-0559",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "010529",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}