{
"Npi": {
"NPI": "1396922209",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SERENITY FAMILY CARE, LLC",
"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": "2415 S CENTER ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HICKORY",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28602-7230",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "828-322-8890",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2415 S CENTER ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HICKORY",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28602-5351",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "828-322-8890",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/23/2008",
"LastUpdateDate": "08/10/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FOSTER",
"AuthorizedOfficialFirstName": "DANNY",
"AuthorizedOfficialMiddleName": "JEREMIAH",
"AuthorizedOfficialTitle": "BUS. MGR.",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "828-322-8890",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "FCL-018-028",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}