{
"Npi": {
"NPI": "1861724791",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "COMMUNITAS, INC.",
"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": "60 D AUDUBON ROAD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WAKEFIELD",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "01880",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "781-587-2200",
"MailingAddressFaxNumber": "781-587-1362",
"FirstLinePracticeLocationAddress": "30 AUDUBON ROAD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WAKEFIELD",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "01880",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "781-587-2314",
"PracticeLocationAddressFaxNumber": "781-587-2315",
"EnumerationDate": "02/03/2010",
"LastUpdateDate": "02/24/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COTE",
"AuthorizedOfficialFirstName": "PAUL",
"AuthorizedOfficialMiddleName": "J.",
"AuthorizedOfficialTitle": "CEO & CFO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "781-587-2220",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "311ZA0620X",
"TaxonomyName": "Adult Care Home Facility",
"LicenseNumber": "718667",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}