{
"Npi": {
"NPI": "1043796766",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "THE SENIOR BELLE, LLC",
"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": "183 DEAD LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BELLE",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "65013-3477",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "573-230-3498",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "801 HIGHWAY 28",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BELLE",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "65013",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "573-859-3818",
"PracticeLocationAddressFaxNumber": "573-859-3142",
"EnumerationDate": "07/16/2018",
"LastUpdateDate": "07/16/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MORFELD",
"AuthorizedOfficialFirstName": "ASHLEE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PROGRAM DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LPN",
"AuthorizedOfficialTelephoneNumber": "573-859-3818",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA0600X",
"TaxonomyName": "Adult Day Care Clinic/Center",
"LicenseNumber": "1507",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}