{
  "npi": "1063798031",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "DEVON",
    "authorized_official_last_name": "CORNETT",
    "authorized_official_middle_name": "R",
    "authorized_official_telephone_number": "7049166656",
    "authorized_official_title_or_position": "Vice President of Network Support",
    "certification_date": "2025-02-06",
    "enumeration_date": "2011-10-22",
    "last_updated": "2025-02-11",
    "organization_name": "ABOUND HEALTH, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "3330 MONROE RD",
      "address_2": "STE A",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CHARLOTTE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "980-256-3910",
      "postal_code": "282057734",
      "state": "NC",
      "telephone_number": "704-916-6656"
    },
    {
      "address_1": "5309 IDLEWILD RD N",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MINT HILL",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "282272822",
      "state": "NC",
      "telephone_number": "704-536-8888"
    }
  ],
  "taxonomies": [
    {
      "code": "251C00000X",
      "desc": "Day Training, Developmentally Disabled Services",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "251S00000X",
      "desc": "Community/Behavioral Health",
      "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 Community/Behavioral Health",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}