{
"Npi": {
"NPI": "1811212384",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PRO-HEALTH HOME CARE 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": "PO BOX 532021",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HARLINGEN",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78553-2021",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "956-970-8424",
"MailingAddressFaxNumber": "888-516-5320",
"FirstLinePracticeLocationAddress": "2402 N HWY 77",
"SecondLinePracticeLocationAddress": "SUITE Q",
"PracticeLocationAddressCityName": "SAN BENITO",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78586",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "956-970-8424",
"PracticeLocationAddressFaxNumber": "888-516-5320",
"EnumerationDate": "03/29/2010",
"LastUpdateDate": "03/29/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ALVARADO",
"AuthorizedOfficialFirstName": "JOSUE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "956-970-8424",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}