{
"Npi": {
"NPI": "1376887372",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ORANGE BLOSSOMS VILLA LLC",
"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": "10331 PIPPIN LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROYAL PALM BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33411-3018",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "561-762-1492",
"MailingAddressFaxNumber": "561-282-6892",
"FirstLinePracticeLocationAddress": "10331 PIPPIN LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ROYAL PALM BEACH",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33411-3018",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "561-762-1492",
"PracticeLocationAddressFaxNumber": "561-282-6892",
"EnumerationDate": "11/15/2012",
"LastUpdateDate": "03/28/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CUMMINGS",
"AuthorizedOfficialFirstName": "MARIA",
"AuthorizedOfficialMiddleName": "ANNA",
"AuthorizedOfficialTitle": "OWNER/ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "561-762-1492",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "AL 10957",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "AL 10383",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}