{
"Npi": {
"NPI": "1497912224",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DECKER'S FAMILY CARE, INC.",
"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": "3443 PINE STREET",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RANIER",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "56668",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "218-286-5635",
"MailingAddressFaxNumber": "218-286-5312",
"FirstLinePracticeLocationAddress": "3443 PINE ST.",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RANIER",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "56668",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "218-286-5635",
"PracticeLocationAddressFaxNumber": "218-286-5312",
"EnumerationDate": "05/20/2008",
"LastUpdateDate": "08/01/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DECKER",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": "ARTHUR",
"AuthorizedOfficialTitle": "OPERATIONS MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "218-286-5635",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "690956600",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}