{
  "npi": "1033629746",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "ROSALI",
    "authorized_official_last_name": "CORDERO-REYNALDO",
    "authorized_official_telephone_number": "7028268424",
    "authorized_official_title_or_position": "director",
    "certification_date": "2021-04-04",
    "enumeration_date": "2017-10-08",
    "last_updated": "2021-04-04",
    "organization_name": "1ST PARADISE PERSONAL CARE, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "3230 POLARIS AVE STE 2",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "LAS VEGAS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "891028325",
      "state": "NV",
      "telephone_number": "702-678-5089"
    },
    {
      "address_1": "3230 POLARIS AVE STE 2",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "LAS VEGAS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "891028325",
      "state": "NV",
      "telephone_number": "702-678-5089"
    }
  ],
  "taxonomies": [
    {
      "code": "3747P1801X",
      "desc": "Technician, Personal Care Attendant",
      "license": null,
      "primary": true,
      "state": "NV",
      "taxonomy_group": "193200000X - Multi-Specialty 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 Technician, Personal Care Attendant",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}