{
"Npi": {
"NPI": "1912175902",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "HEALTHPROV L.L.C.",
"ParentOrgTIN": null,
"OrgName": "HEALTHPROV L.L.C.",
"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": "316 WESTMONT DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAREDO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78041-2745",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "956-727-4007",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1505 CALLE DEL NORTE",
"SecondLinePracticeLocationAddress": "#375",
"PracticeLocationAddressCityName": "LAREDO",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78041-6036",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "956-728-0411",
"PracticeLocationAddressFaxNumber": "956-728-0415",
"EnumerationDate": "02/13/2008",
"LastUpdateDate": "07/02/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CIGARROA",
"AuthorizedOfficialFirstName": "MELISSA",
"AuthorizedOfficialMiddleName": "C",
"AuthorizedOfficialTitle": "OWNER-CEO",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "956-728-0411",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}