{
"Npi": {
"NPI": "1487801700",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LIFETIME MANAGEMENT SERVICES 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": "1215 AVERY ST STE A",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PARKERSBURG",
"MailingAddressStateName": "WV",
"MailingAddressPostalCode": "26101-4412",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "304-428-7505",
"MailingAddressFaxNumber": "304-428-3854",
"FirstLinePracticeLocationAddress": "1215 AVERY ST STE A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PARKERSBURG",
"PracticeLocationAddressStateName": "WV",
"PracticeLocationAddressPostalCode": "26101-4412",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "304-428-7505",
"PracticeLocationAddressFaxNumber": "304-428-3854",
"EnumerationDate": "08/19/2008",
"LastUpdateDate": "08/19/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KIGER",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": "P",
"AuthorizedOfficialTitle": "MEMBER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MPA",
"AuthorizedOfficialTelephoneNumber": "304-428-7505",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251B00000X",
"TaxonomyName": "Case Management Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": "WV",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}