{
"Npi": {
"NPI": "1770857583",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "C AND D'S GUEST 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": "PO BOX 1465",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ATWATER",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95301-1465",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "209-769-4541",
"MailingAddressFaxNumber": "209-358-7348",
"FirstLinePracticeLocationAddress": "2585 ROSELLE DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MERCED",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95348-3802",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "209-769-4541",
"PracticeLocationAddressFaxNumber": "209-358-7348",
"EnumerationDate": "02/27/2012",
"LastUpdateDate": "02/27/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DOBBINS",
"AuthorizedOfficialFirstName": "CHANTE",
"AuthorizedOfficialMiddleName": "LYNETTE",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "209-769-4541",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "320900000X",
"TaxonomyName": "Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility",
"LicenseNumber": "247204068",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}