{
  "npi": "1316433329",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "MYRNA",
    "authorized_official_last_name": "FAYAD",
    "authorized_official_telephone_number": "3135513316",
    "authorized_official_title_or_position": "Owner",
    "certification_date": "2020-06-11",
    "enumeration_date": "2018-07-03",
    "last_updated": "2020-06-11",
    "organization_name": "4 UR RECOVERY THERAPY, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "19201 WARREN ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "DETROIT",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "248-996-8457",
      "postal_code": "48228",
      "state": "MI",
      "telephone_number": "248-327-6766"
    },
    {
      "address_1": "P.O. BOX 7459",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "DEARBORN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "248-996-8457",
      "postal_code": "48121",
      "state": "MI",
      "telephone_number": "313-899-0498"
    }
  ],
  "taxonomies": [
    {
      "code": "261QR0401X",
      "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
      "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 Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "B4[14]",
        "medicare_type": "Comprehensive Outpatient Rehabilitation Facility"
      }
    ]
  }
}