{
"Npi": {
"NPI": "1154191724",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HERITAGE AT FOUNTAIN POINT OPERATING 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": "3725 W MADISON AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORFOLK",
"MailingAddressStateName": "NE",
"MailingAddressPostalCode": "68701-4716",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "402-758-9000",
"MailingAddressFaxNumber": "402-316-7844",
"FirstLinePracticeLocationAddress": "3725 W MADISON AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORFOLK",
"PracticeLocationAddressStateName": "NE",
"PracticeLocationAddressPostalCode": "68701-4716",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "402-758-9000",
"PracticeLocationAddressFaxNumber": "402-316-7844",
"EnumerationDate": "01/04/2024",
"LastUpdateDate": "01/04/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LACROIX",
"AuthorizedOfficialFirstName": "LINDSAY",
"AuthorizedOfficialMiddleName": "LEIGH",
"AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LNHA, RN",
"AuthorizedOfficialTelephoneNumber": "402-833-8885",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}