{
"Npi": {
"NPI": "1275883654",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "HOPES LIVING SERVICES",
"ParentOrgTIN": null,
"OrgName": "HOPES LIVING SERVICES",
"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": "8602 HEATHER DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "YPSILANTI",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48198-3218",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "734-272-2173",
"MailingAddressFaxNumber": "734-922-2426",
"FirstLinePracticeLocationAddress": "8602 HEATHER DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "YPSILANTI",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48198-3218",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "734-272-2173",
"PracticeLocationAddressFaxNumber": "734-922-2426",
"EnumerationDate": "09/13/2012",
"LastUpdateDate": "09/13/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BOLO",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "KISIA",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "734-272-2173",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "AF810315431",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}