{
  "npi": "1235295734",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "BRENDEX",
    "authorized_official_last_name": "MEEKS",
    "authorized_official_middle_name": "RENEA",
    "authorized_official_telephone_number": "9193904429",
    "authorized_official_title_or_position": "Owner/Office Administrator",
    "certification_date": "2023-12-07",
    "enumeration_date": "2006-12-29",
    "last_updated": "2023-12-07",
    "organization_name": "BRENDEX RENEA LEE MEEKS",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "313 W SYCAMORE ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ZEBULON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "275972530",
      "state": "NC",
      "telephone_number": "919-404-2426"
    },
    {
      "address_1": "PO BOX 1383",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "WENDELL",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "919-266-0301",
      "postal_code": "275911383",
      "state": "NC",
      "telephone_number": "919-266-2003"
    }
  ],
  "taxonomies": [
    {
      "code": "3104A0625X",
      "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
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      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "3104A0625X",
      "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
      "license": "MHL-092-573",
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      "state": "NC",
      "taxonomy_group": ""
    },
    {
      "code": "3104A0625X",
      "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
      "license": "MHL-092-663",
      "primary": false,
      "state": "NC",
      "taxonomy_group": ""
    },
    {
      "code": "3104A0625X",
      "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
      "license": "MHL-092-488",
      "primary": true,
      "state": "NC",
      "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, Assisted Living, Mental Illness",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}