{
"Npi": {
"NPI": "1043646979",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SEMINOLE SHORES OPERATING COMPANY",
"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": "850 SEMINOLE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORTON SHORES",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "49441-4340",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "231-780-2944",
"MailingAddressFaxNumber": "231-780-2599",
"FirstLinePracticeLocationAddress": "850 SEMINOLE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORTON SHORES",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "49441-4340",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "231-780-2944",
"PracticeLocationAddressFaxNumber": "231-780-2599",
"EnumerationDate": "09/24/2013",
"LastUpdateDate": "09/24/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "REENDERS",
"AuthorizedOfficialFirstName": "SCOTT",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "AUTHORIZED AGENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "616-842-2425",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "AH610255010",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}