{
  "npi": "1295852366",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "JOSHUA",
    "authorized_official_last_name": "PROFFITT",
    "authorized_official_middle_name": "L",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "3372331307",
    "authorized_official_title_or_position": "President",
    "certification_date": "2024-02-13",
    "enumeration_date": "2007-03-23",
    "last_updated": "2024-02-13",
    "organization_name": "ARKANSAS HOMECARE OF FULTON, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "110 HIGHWAY 62 W STE 1",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "SALEM",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "870-895-5515",
      "postal_code": "725768059",
      "state": "AR",
      "telephone_number": "870-895-2273"
    },
    {
      "address_1": "PO BOX 51266",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "LAFAYETTE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "337-233-5764",
      "postal_code": "705051266",
      "state": "LA",
      "telephone_number": "337-233-1307"
    }
  ],
  "taxonomies": [
    {
      "code": "251J00000X",
      "desc": "Nursing Care",
      "license": "AR4781B",
      "primary": false,
      "state": "AR",
      "taxonomy_group": ""
    },
    {
      "code": "253Z00000X",
      "desc": "In Home Supportive Care",
      "license": "AR4781B",
      "primary": false,
      "state": "AR",
      "taxonomy_group": ""
    },
    {
      "code": "251E00000X",
      "desc": "Home Health",
      "license": "AR4781",
      "primary": true,
      "state": "AR",
      "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)"
      }
    ]
  }
}