{
"Npi": {
"NPI": "1356780829",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PICKENS ADULT DAYCARE CENTER",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1032 PEYTON AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "JACKSON",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39209-7013",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "601-278-6739",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "345 HWY 51 N",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PICKENS",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "39146",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "601-278-6739",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/18/2013",
"LastUpdateDate": "06/18/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PICKENS",
"AuthorizedOfficialFirstName": "MARIE",
"AuthorizedOfficialMiddleName": "D.",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LMSW",
"AuthorizedOfficialTelephoneNumber": "601-278-6739",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "347E00000X",
"TaxonomyName": "Transportation Broker",
"LicenseNumber": null,
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}