{
"Npi": {
"NPI": "1891049714",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LIGHTHOUSE MINISTRIES, INC.",
"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 130",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "REEVES",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "70658-0130",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "337-666-2678",
"MailingAddressFaxNumber": "337-666-2679",
"FirstLinePracticeLocationAddress": "180 LIGHTHOUSE LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "REEVES",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "70658-5941",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "337-666-2678",
"PracticeLocationAddressFaxNumber": "337-666-2679",
"EnumerationDate": "10/30/2012",
"LastUpdateDate": "10/30/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CAVENAH",
"AuthorizedOfficialFirstName": "PATSY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "337-666-2678",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "322D00000X",
"TaxonomyName": "Emotionally Disturbed Childrens' Residential Treatment Facility",
"LicenseNumber": "9145",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}