{
  "npi": "1053569384",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "BRETT",
    "authorized_official_last_name": "COHEN",
    "authorized_official_middle_name": "IAN",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "8003885150",
    "authorized_official_title_or_position": "COO",
    "certification_date": "2023-04-20",
    "enumeration_date": "2008-08-28",
    "last_updated": "2023-04-20",
    "organization_name": "REM OHIO, INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "6240 WINCHESTER RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CARROLL",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "614-367-9751",
      "postal_code": "43112",
      "state": "OH",
      "telephone_number": "614-367-1379"
    },
    {
      "address_1": "470 PORTAGE LAKES DR STE 206",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "COVENTRY TOWNSHIP",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "330-644-5475",
      "postal_code": "443192296",
      "state": "OH",
      "telephone_number": "330-644-5216"
    }
  ],
  "taxonomies": [
    {
      "code": "315P00000X",
      "desc": "Intermediate Care Facility, Intellectual Disabilities",
      "license": null,
      "primary": false,
      "state": "OH",
      "taxonomy_group": ""
    },
    {
      "code": "320600000X",
      "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
      "license": "0830373",
      "primary": true,
      "state": "OH",
      "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 Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}