{
"Npi": {
"NPI": "1144647512",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "P & J HOMES, LLC",
"ParentOrgTIN": null,
"OrgName": "P & J HOMES, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7683 HEATHER CIR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BUENA PARK",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90620-1924",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "714-388-5545",
"MailingAddressFaxNumber": "714-752-6530",
"FirstLinePracticeLocationAddress": "7683 HEATHER CIR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BUENA PARK",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90620-1924",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "714-388-5545",
"PracticeLocationAddressFaxNumber": "714-752-6530",
"EnumerationDate": "03/24/2014",
"LastUpdateDate": "03/24/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ULIT",
"AuthorizedOfficialFirstName": "PHILLIP",
"AuthorizedOfficialMiddleName": "CLEMENTE",
"AuthorizedOfficialTitle": "PRESIDENT-OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "714-388-5545",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "313M00000X",
"TaxonomyName": "Nursing Facility/Intermediate Care Facility",
"LicenseNumber": "UNDER PROCESS",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}