{
"Npi": {
"NPI": "1962912626",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LINCOLIN CO ASSISTED 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": "142 TEVA DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STAR CITY",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "71667-4253",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "870-941-6734",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "142 TEVA DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "STAR CITY",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "71667-4253",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "870-941-6734",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/09/2017",
"LastUpdateDate": "10/09/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MOSELEY",
"AuthorizedOfficialFirstName": "KIM",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "REGIONAL DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RD",
"AuthorizedOfficialTelephoneNumber": "870-941-6734",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}