{
  "npi": "1003909607",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "atc l cscs lmt",
    "authorized_official_first_name": "JOHN",
    "authorized_official_last_name": "GUERRINA",
    "authorized_official_middle_name": "E",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "4076880070",
    "authorized_official_title_or_position": "Vice President",
    "enumeration_date": "2006-10-02",
    "last_updated": "2008-10-10",
    "organization_name": "ABILITY HEALTH SERVICES, INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "401 VENTURE DR",
      "address_2": "C",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SOUTH DAYTONA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "386-760-5056",
      "postal_code": "321193478",
      "state": "FL",
      "telephone_number": "386-760-5042"
    },
    {
      "address_1": "1565 SAXON BLVD",
      "address_2": "301",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "DELTONA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "386-851-2426",
      "postal_code": "32725",
      "state": "FL",
      "telephone_number": "386-851-0901"
    }
  ],
  "taxonomies": [
    {
      "code": "332B00000X",
      "desc": "Durable Medical Equipment & Medical Supplies",
      "license": "PT 18243",
      "primary": false,
      "state": "FL",
      "taxonomy_group": ""
    },
    {
      "code": "332BC3200X",
      "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
      "license": "OT 11934",
      "primary": true,
      "state": "FL",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Durable Medical Equipment & Medical Supplies, Customized Equipment",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}