{
  "npi": "1013392679",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "JULIE",
    "authorized_official_last_name": "GRIGG",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "8288590259",
    "authorized_official_title_or_position": "Executive Administrator",
    "certification_date": "2022-05-05",
    "enumeration_date": "2015-07-24",
    "last_updated": "2022-05-05",
    "organization_name": "LIGHT HOUSE GROUP HOME",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "SYNERGY IN ACTION",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "20 JERVEY RD",
      "address_2": "SUITE 102",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "TRYON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "287820017",
      "state": "NC",
      "telephone_number": "828-859-0259"
    },
    {
      "address_1": "85 MIMOSA INN LN",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "TRYON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "287828685",
      "state": "NC",
      "telephone_number": "828-859-0259"
    }
  ],
  "taxonomies": [
    {
      "code": "320600000X",
      "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
      "license": "MHL075025",
      "primary": false,
      "state": "NC",
      "taxonomy_group": ""
    },
    {
      "code": "253Z00000X",
      "desc": "In Home Supportive Care",
      "license": null,
      "primary": true,
      "state": null,
      "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 In Home Supportive Care",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}