{
"Npi": {
"NPI": "1891008710",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NADIYA HOUSE, 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": "PO BOX 146",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "COLONIAL HEIGHTS",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "23834-0146",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "804-862-2340",
"MailingAddressFaxNumber": "804-862-2340",
"FirstLinePracticeLocationAddress": "123 S CHAPPELL ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PETERSBURG",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "23803-3910",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "804-919-1826",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/20/2010",
"LastUpdateDate": "07/20/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCOTT",
"AuthorizedOfficialFirstName": "SHIRLEY",
"AuthorizedOfficialMiddleName": "HARTENSE",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "804-862-2340",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "320800000X",
"TaxonomyName": "Mental Illness Community Based Residential Treatment Facility",
"LicenseNumber": "1265",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}