{
  "npi": "1053751693",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "CPA",
    "authorized_official_first_name": "CHRISTOPHER",
    "authorized_official_last_name": "WETTIG",
    "authorized_official_middle_name": "L",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "3166166288",
    "authorized_official_title_or_position": "CFO",
    "enumeration_date": "2013-06-27",
    "last_updated": "2013-06-27",
    "organization_name": "60TH AVENUE ALF, LLC",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "JUPITER TENANT, LLC",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "8415 E 21ST ST N STE 100",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "WICHITA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "316-616-6255",
      "postal_code": "672062959",
      "state": "KS",
      "telephone_number": "316-616-6288"
    },
    {
      "address_1": "2800 60TH AVE W",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BRADENTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "941-752-1740",
      "postal_code": "342074324",
      "state": "FL",
      "telephone_number": "941-752-1990"
    }
  ],
  "taxonomies": [
    {
      "code": "310400000X",
      "desc": "Assisted Living Facility",
      "license": "AL9932",
      "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 Assisted Living Facility",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}