{
"Npi": {
"NPI": "1275836694",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "VERITAS INCARE, LLC",
"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": "6933 CRUMPLER BLVD",
"SecondLineMailingAddress": "SUITE A",
"MailingAddressCityName": "OLIVE BRANCH",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "38654-1922",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "662-895-1801",
"MailingAddressFaxNumber": "552-895-1804",
"FirstLinePracticeLocationAddress": "1125 STRONG RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "QUINCY",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32351-8832",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "850-875-1334",
"PracticeLocationAddressFaxNumber": "850-875-9820",
"EnumerationDate": "12/07/2010",
"LastUpdateDate": "12/07/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LANDERS",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT/CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "662-895-1801",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "AL9511",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}