{
  "npi": "1184805780",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "R.N., D.O.N., C.E.O.",
    "authorized_official_first_name": "CAROLINE",
    "authorized_official_last_name": "ODOEMENA",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "8174772529",
    "authorized_official_title_or_position": "Director of Nurses, Chief Financial",
    "enumeration_date": "2007-11-26",
    "last_updated": "2012-01-06",
    "organization_name": "1ST ABLECARE HEALTHCARE SERVICES, LLC.",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1475 HERITAGE PKWY",
      "address_2": "SUITE 325",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MANSFIELD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "817-477-3132",
      "postal_code": "760632735",
      "state": "TX",
      "telephone_number": "817-477-2529"
    },
    {
      "address_1": "1475 HERITAGE PKWY",
      "address_2": "SUITE 325",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MANSFIELD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "817-477-3132",
      "postal_code": "760632735",
      "state": "TX",
      "telephone_number": "817-477-2529"
    }
  ],
  "taxonomies": [
    {
      "code": "251E00000X",
      "desc": "Home Health",
      "license": "009037",
      "primary": false,
      "state": "TX",
      "taxonomy_group": ""
    },
    {
      "code": "251E00000X",
      "desc": "Home Health",
      "license": "012031",
      "primary": true,
      "state": "TX",
      "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": "CMS-Certified Home Health Care & Skilled Nursing Agency",
    "certifying_board": "CMS Home Health Conditions of Participation / CHAP / ACHC",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "A4[11]",
        "medicare_type": "Home Health Agency"
      },
      {
        "medicare_code": "A4[11]",
        "medicare_type": "Home Health Agency (Subunit)"
      }
    ]
  }
}