{
"Npi": {
"NPI": "1770983462",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AFFECTIONATE CARE FOR LIFE",
"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": "2313 Z TERRANCE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WEST PALM",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33404",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "561-863-9517",
"MailingAddressFaxNumber": "561-444-3059",
"FirstLinePracticeLocationAddress": "2313 Z TER",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RIVIERA BEACH",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33404-1803",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "561-863-9517",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/29/2014",
"LastUpdateDate": "08/29/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DAVIS",
"AuthorizedOfficialFirstName": "MARGARET",
"AuthorizedOfficialMiddleName": "ELIZBETH",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "561-863-9517",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "311ZA0620X",
"TaxonomyName": "Adult Care Home Facility",
"LicenseNumber": "6906680",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}