{
  "npi": "1083901706",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "RN, LTC Adm.",
    "authorized_official_first_name": "KATHY",
    "authorized_official_last_name": "GIBBS",
    "authorized_official_name_prefix": "Mrs.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "4789871239",
    "authorized_official_title_or_position": "Administrator",
    "enumeration_date": "2011-07-01",
    "last_updated": "2015-05-04",
    "organization_name": "CHURCH HOME REHABILITATION AND HEALTHCARE, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 1376",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "PERRY",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "478-988-8273",
      "postal_code": "310691376",
      "state": "GA",
      "telephone_number": "478-987-1239"
    },
    {
      "address_1": "2470 HWY 41 NORTH",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "FORT VALLEY",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "478-988-8273",
      "postal_code": "31030",
      "state": "GA",
      "telephone_number": "478-987-1239"
    }
  ],
  "taxonomies": [
    {
      "code": "314000000X",
      "desc": "Skilled Nursing Facility",
      "license": "00140467A",
      "primary": true,
      "state": "GA",
      "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 Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)",
    "certifying_board": "CMS Five-Star Quality Rating System / State Department of Health",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "A1[8]",
        "medicare_type": "Skilled Nursing Facility"
      }
    ]
  }
}