{
"Npi": {
"NPI": "1093179145",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ABIDING RESIDENTIAL SERVICES",
"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": "411 N FREDONIA ST STE 109",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LONGVIEW",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75601-6467",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "903-234-8214",
"MailingAddressFaxNumber": "903-234-8138",
"FirstLinePracticeLocationAddress": "205 E US HIGHWAY 80",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WHITE OAK",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75693-2103",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "903-297-4959",
"PracticeLocationAddressFaxNumber": "903-297-4999",
"EnumerationDate": "04/05/2016",
"LastUpdateDate": "04/05/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "POLK",
"AuthorizedOfficialFirstName": "LA TONYA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "903-315-8302",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "143093",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}