{
"Npi": {
"NPI": "1831866771",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SOLACE GARDENS, LLC",
"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": "4946 TERRACE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ELLENWOOD",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30294-3680",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "404-625-5478",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "286 HIGHWAY 138 SW STE C",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RIVERDALE",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30274-4005",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "404-625-5478",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/27/2021",
"LastUpdateDate": "05/17/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OUTIN",
"AuthorizedOfficialFirstName": "YOULANDA",
"AuthorizedOfficialMiddleName": "RENAE",
"AuthorizedOfficialTitle": "OWNER/EXECUTIVE DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "BSB/MKT",
"AuthorizedOfficialTelephoneNumber": "404-625-5478",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA0600X",
"TaxonomyName": "Adult Day Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}