{
  "npi": "1447310644",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "GLEN",
    "authorized_official_last_name": "CYR",
    "authorized_official_middle_name": "G",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "2077863554",
    "authorized_official_title_or_position": "VP of Finance",
    "enumeration_date": "2006-12-11",
    "last_updated": "2020-08-22",
    "organization_name": "NORTH COUNTRY ASSOCIATES, INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "179 LISBON ST",
      "address_2": "2ND FLOOR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "LEWISTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "207-786-8507",
      "postal_code": "042407248",
      "state": "ME",
      "telephone_number": "207-786-3554"
    },
    {
      "address_1": "43 OWENS ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BINGHAM",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "207-672-3293",
      "postal_code": "049204008",
      "state": "ME",
      "telephone_number": "207-672-4041"
    }
  ],
  "taxonomies": [
    {
      "code": "314000000X",
      "desc": "Skilled Nursing Facility",
      "license": "2033",
      "primary": true,
      "state": "ME",
      "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"
      }
    ]
  }
}