{
"Npi": {
"NPI": "1023493756",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CARC - ADVOCATES FOR CITIZENS WITH DISABILITIES, 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": "512 SW SISTERS WELCOME RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAKE CITY",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32025-0752",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "386-752-1880",
"MailingAddressFaxNumber": "386-758-2031",
"FirstLinePracticeLocationAddress": "512 SW SISTERS WELCOME RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAKE CITY",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32025-0752",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "386-752-1880",
"PracticeLocationAddressFaxNumber": "386-758-2031",
"EnumerationDate": "07/23/2015",
"LastUpdateDate": "07/23/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HUNTER",
"AuthorizedOfficialFirstName": "AIMEE",
"AuthorizedOfficialMiddleName": "C",
"AuthorizedOfficialTitle": "FINANCE MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "386-752-1880",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251C00000X",
"TaxonomyName": "Developmentally Disabled Services Day Training Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}