{
"Npi": {
"NPI": "1750725297",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NEW COVENANT DAYCARE",
"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": "460 MUSE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOLLY SPRINGS",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "38635-6903",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "662-402-7735",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "960 HIGHWAY 4 E",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HOLLY SPRINGS",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "38635-2145",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "662-402-7735",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/27/2013",
"LastUpdateDate": "04/27/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PHILLIPS",
"AuthorizedOfficialFirstName": "THERESIA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/CEO",
"AuthorizedOfficialNamePrefix": "MISS",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "662-402-7735",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "305R00000X",
"TaxonomyName": "Preferred Provider Organization",
"LicenseNumber": null,
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}