{
"Npi": {
"NPI": "1316284607",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "S & B KINGDOM CARE L.L.C",
"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": "10 RENN LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PALM COAST",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32164-6633",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "386-313-5988",
"MailingAddressFaxNumber": "386-313-5989",
"FirstLinePracticeLocationAddress": "10 RENN LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PALM COAST",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32164-6633",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "386-313-5988",
"PracticeLocationAddressFaxNumber": "386-313-5989",
"EnumerationDate": "01/07/2013",
"LastUpdateDate": "01/07/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NOTICE",
"AuthorizedOfficialFirstName": "BRENDA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "386-334-6718",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "12302",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}