{
"Npi": {
"NPI": "1871702704",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PT HOME SERVICES OF DALLAS, INC.",
"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": "22215 NORTHERN BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BAYSIDE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11361-3603",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "718-468-4747",
"MailingAddressFaxNumber": "718-264-5834",
"FirstLinePracticeLocationAddress": "8200 BROOKRIVER DR",
"SecondLinePracticeLocationAddress": "#N503",
"PracticeLocationAddressCityName": "DALLAS",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75247-4069",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "214-678-0507",
"PracticeLocationAddressFaxNumber": "214-678-0766",
"EnumerationDate": "05/21/2007",
"LastUpdateDate": "07/18/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LASKIN",
"AuthorizedOfficialFirstName": "LORIGAY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CONTRACT MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "718-468-4747",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "002683",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}