{
"Npi": {
"NPI": "1316129828",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "PROMISE PRIDE ENTERPRISES, INC.",
"ParentOrgTIN": null,
"OrgName": "PROMISE PRIDE 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": "5100 GROOM RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BAKER",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "70714-3124",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "225-774-3385",
"MailingAddressFaxNumber": "225-774-7381",
"FirstLinePracticeLocationAddress": "5100 GROOM RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BAKER",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "70714-3124",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "225-774-3385",
"PracticeLocationAddressFaxNumber": "225-774-7381",
"EnumerationDate": "11/27/2007",
"LastUpdateDate": "11/27/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WHITE",
"AuthorizedOfficialFirstName": "MARY",
"AuthorizedOfficialMiddleName": "E.",
"AuthorizedOfficialTitle": "PROGRAM DIRECTOR/ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "REGISTERED NURSE",
"AuthorizedOfficialTelephoneNumber": "225-774-3385",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA0600X",
"TaxonomyName": "Adult Day Care Clinic/Center",
"LicenseNumber": "ADHC 5039",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}