{
"Npi": {
"NPI": "1518001544",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "VINEYARD HOMES, INC.",
"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": "2704 WARRICK CIR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GOLDSBORO",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "27534-7658",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "919-778-3412",
"MailingAddressFaxNumber": "919-778-3412",
"FirstLinePracticeLocationAddress": "2704 WARRICK CIR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GOLDSBORO",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "27534-7658",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "919-778-3412",
"PracticeLocationAddressFaxNumber": "919-778-3412",
"EnumerationDate": "02/15/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GRANT",
"AuthorizedOfficialFirstName": "ROBERT",
"AuthorizedOfficialMiddleName": "EARL",
"AuthorizedOfficialTitle": "PRESIDENT - OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "B.S.",
"AuthorizedOfficialTelephoneNumber": "919-751-0503",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "322D00000X",
"TaxonomyName": "Emotionally Disturbed Childrens' Residential Treatment Facility",
"LicenseNumber": "MHL-096-133",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}