{
"Npi": {
"NPI": "1861536252",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LOCAL HOSPICE, INC.",
"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": "100 E CHOCTAW AVE",
"SecondLineMailingAddress": "SUITE A",
"MailingAddressCityName": "SALLISAW",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "74955-4607",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "918-790-2277",
"MailingAddressFaxNumber": "918-790-2279",
"FirstLinePracticeLocationAddress": "100 E. CHOCTAW AVE",
"SecondLinePracticeLocationAddress": "SUITE A",
"PracticeLocationAddressCityName": "SALLISAW",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "74955-4607",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "918-790-2277",
"PracticeLocationAddressFaxNumber": "918-790-2279",
"EnumerationDate": "02/18/2007",
"LastUpdateDate": "12/17/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MARTIN",
"AuthorizedOfficialFirstName": "MELINDA",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "SECRETARY - TREASURER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "918-790-2277",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": "4242",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}