{
"Npi": {
"NPI": "1215382312",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "INFINITY & BEYOND L. C.",
"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": "19182 WAKENDEN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "REDFORD",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48240-1445",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "248-587-6502",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "19182 WAKENDEN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "REDFORD",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48240",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "248-587-6502",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/27/2016",
"LastUpdateDate": "04/27/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JAMES",
"AuthorizedOfficialFirstName": "SHAJUANA",
"AuthorizedOfficialMiddleName": "TEKEIA",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DIRECT CARE WORKER",
"AuthorizedOfficialTelephoneNumber": "248-587-6502",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": "E7963H",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}