{
  "npi": "1467772897",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "JUSTIN",
    "authorized_official_last_name": "LARSEN",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "4357533133",
    "authorized_official_title_or_position": "Owner/ President",
    "enumeration_date": "2010-06-08",
    "last_updated": "2010-06-08",
    "organization_name": "ALLIANCE HOME HEALTH OF IDAHO, LLC",
    "organizational_subpart": "NO",
    "status": "A"
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    {
      "address_1": "545 W 465 N",
      "address_2": "SUITE 100",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "PROVIDENCE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "435-753-3542",
      "postal_code": "843328003",
      "state": "UT",
      "telephone_number": "435-753-3133"
    },
    {
      "address_1": "218 FALLS AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "TWIN FALLS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "208-733-2542",
      "postal_code": "833013372",
      "state": "ID",
      "telephone_number": "208-733-2234"
    }
  ],
  "taxonomies": [
    {
      "code": "251G00000X",
      "desc": "Hospice Care, Community Based",
      "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 & Credentialed Agencies — Hospice Care, Community Based",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "B4[14]",
        "medicare_type": "Hospice"
      }
    ]
  }
}