{
"Npi": {
"NPI": "1336693100",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "EDELWEISS HOME INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7067 ARMSTRONG RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GOLETA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93117-4035",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "805-845-5447",
"MailingAddressFaxNumber": "805-845-6020",
"FirstLinePracticeLocationAddress": "296 PEBBLE HILL DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SANTA BARBARA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "93111-1917",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "805-845-5559",
"PracticeLocationAddressFaxNumber": "805-845-6020",
"EnumerationDate": "08/10/2016",
"LastUpdateDate": "08/10/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HUG-DEMONTEVERDE",
"AuthorizedOfficialFirstName": "MILDRED",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "VICE-PRESIDENT/ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "805-284-5870",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "425801989",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}