{
"Npi": {
"NPI": "1730591447",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GRACES HOMES",
"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": "791 CRENSHAW RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAINT PAULS",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28384-8488",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "910-874-2947",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "791 CRENSHAW RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SAINT PAULS",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28384-8488",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "910-874-2947",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/29/2014",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCNAIR",
"AuthorizedOfficialFirstName": "TERREAN",
"AuthorizedOfficialMiddleName": "SHARNEL",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "910-874-2947",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "385HR2060X",
"TaxonomyName": "Child Intellectual and/or Developmental Disabilities Respite Care",
"LicenseNumber": null,
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}