{
"Npi": {
"NPI": "1306217948",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CRI ENTERPRISES, INC.",
"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": "3140 E VISTA CHINO",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PALM SPRINGS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92262-5475",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-799-5424",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3140 E VISTA CHINO",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PALM SPRINGS",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92262-5475",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "760-799-5424",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/08/2015",
"LastUpdateDate": "05/25/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CAMUA",
"AuthorizedOfficialFirstName": "GEORGE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LVN",
"AuthorizedOfficialTelephoneNumber": "760-799-5424",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "336411237",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "336424160",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "336413251",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}