{
"Npi": {
"NPI": "1104172568",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PARADISE ADULTS CARE",
"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": "PO BOX 30752",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WILMINGTON ISLAND",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "31410-0752",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "912-323-8552",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "124 ROPEMAKER LN",
"SecondLinePracticeLocationAddress": "4 BELVEDERE DRIVE",
"PracticeLocationAddressCityName": "WILMINGTON ISLAND",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "31410-2018",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "912-335-2991",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/02/2012",
"LastUpdateDate": "08/02/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HARRIGAN",
"AuthorizedOfficialFirstName": "JOANNE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "912-323-8552",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "311ZA0620X",
"TaxonomyName": "Adult Care Home Facility",
"LicenseNumber": "025013271I",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}