{
"Npi": {
"NPI": "1124178983",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JAN & GAIL'S CARE HOMES 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": "2115 REAGAN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TULARE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93274-8327",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "559-788-9638",
"MailingAddressFaxNumber": "558-688-3611",
"FirstLinePracticeLocationAddress": "134 N SANTA CLARA ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TULARE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "93274-3540",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "559-686-3090",
"PracticeLocationAddressFaxNumber": "558-688-3611",
"EnumerationDate": "01/11/2007",
"LastUpdateDate": "11/30/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SOLORIO",
"AuthorizedOfficialFirstName": "GAIL",
"AuthorizedOfficialMiddleName": "LOUISE",
"AuthorizedOfficialTitle": "RN /ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "559-788-9638",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "320600000X",
"TaxonomyName": "Intellectual and/or Developmental Disabilities Residential Treatment Facility",
"LicenseNumber": "120000637",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "315P00000X",
"TaxonomyName": "Intellectual Disabilities Intermediate Care Facility",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}