{
"Npi": {
"NPI": "1952780959",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PARADISE LIVING",
"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": "258 COLLEGE AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MAYSVILLE",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30558-1828",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "706-652-2600",
"MailingAddressFaxNumber": "706-652-3523",
"FirstLinePracticeLocationAddress": "258 COLLEGE AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MAYSVILLE",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30558-1828",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "706-652-2600",
"PracticeLocationAddressFaxNumber": "706-652-3523",
"EnumerationDate": "05/22/2015",
"LastUpdateDate": "05/22/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NIKFARJAM",
"AuthorizedOfficialFirstName": "HAMID",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "706-652-2600",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "PCH009059",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}