{
"Npi": {
"NPI": "1831906775",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "EVEREST ADULT DAY CARE LLC",
"ParentOrgTIN": null,
"OrgName": "EVEREST ADULT DAY CARE LLC",
"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": "12201 E MISSISSIPPI AVE UNIT 101",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "AURORA",
"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "80012-3468",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "720-612-7854",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2393 W 27TH ST STE 526",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GREELEY",
"PracticeLocationAddressStateName": "CO",
"PracticeLocationAddressPostalCode": "80634-8046",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "720-612-7854",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/13/2024",
"LastUpdateDate": "12/13/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BARAL",
"AuthorizedOfficialFirstName": "SOM",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MPH",
"AuthorizedOfficialTelephoneNumber": "720-612-7854",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA0600X",
"TaxonomyName": "Adult Day Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}