{
"Npi": {
"NPI": "1174728810",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MAPLEWAY COMMUNITY, 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": "PO BOX 1778",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAFETY HARBOR",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34695-1778",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "727-726-4171",
"MailingAddressFaxNumber": "727-726-4497",
"FirstLinePracticeLocationAddress": "485 MAPLEWAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SAFETY HARBOR",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34695-2959",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "727-726-4171",
"PracticeLocationAddressFaxNumber": "727-726-4497",
"EnumerationDate": "06/20/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROSS",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": "JOSEPH",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHD",
"AuthorizedOfficialTelephoneNumber": "727-726-4171",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3104A0625X",
"TaxonomyName": "Assisted Living Facility (Mental Illness)",
"LicenseNumber": "10785",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}