{
"Npi": {
"NPI": "1154522324",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOOSIER ENTERPRISES, VII, INC.",
"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": "8455 KEYSTONE XING",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "INDIANAPOLIS",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46240-4353",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "317-818-1240",
"MailingAddressFaxNumber": "317-818-0720",
"FirstLinePracticeLocationAddress": "2700 WATERSEDGE PKWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "JEFFERSONVILLE",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "47130-8534",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "812-284-4336",
"PracticeLocationAddressFaxNumber": "812-284-5973",
"EnumerationDate": "05/29/2007",
"LastUpdateDate": "07/09/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SANDEFUR",
"AuthorizedOfficialFirstName": "DEENA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "AR DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "317-818-1240",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "07004001",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}