{
"Npi": {
"NPI": "1619137999",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PROGRESSIVE ALTERNATIVES, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 20054",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KALAMAZOO",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "49019-1054",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "269-679-2738",
"MailingAddressFaxNumber": "269-679-2738",
"FirstLinePracticeLocationAddress": "10476 W U AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SCHOOLCRAFT",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "49087-8475",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "269-679-2273",
"PracticeLocationAddressFaxNumber": "269-679-2738",
"EnumerationDate": "06/11/2008",
"LastUpdateDate": "06/11/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NOLAN",
"AuthorizedOfficialFirstName": "KIMBERLY",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN, CEO",
"AuthorizedOfficialTelephoneNumber": "269-679-2738",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "311ZA0620X",
"TaxonomyName": "Adult Care Home Facility",
"LicenseNumber": "AS390016162",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}