{
"Npi": {
"NPI": "1174320246",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ST. MARY'S HIGHLAND HILLS, 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": "20555 VICTOR PKWY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LIVONIA",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48152-7031",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "734-343-6628",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1660 JENNINGS MILL RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WATKINSVILLE",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30677-7232",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "706-353-8840",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/26/2025",
"LastUpdateDate": "02/26/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LATOVICK",
"AuthorizedOfficialFirstName": "PAMELA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "VP REIMBURSEMENT",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "734-343-6628",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "311500000X",
"TaxonomyName": "Alzheimer Center (Dementia Center)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}