{
  "npi": "1477008464",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "KELLY",
    "authorized_official_last_name": "GILL",
    "authorized_official_middle_name": "J",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "6157717575",
    "authorized_official_title_or_position": "CEO",
    "enumeration_date": "2016-08-18",
    "last_updated": "2017-01-21",
    "organization_name": "DIVERSICARE OF CARTHAGE, LLC",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "DIVERSICARE LEASING COMPANY III, LLC",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1101 E FRANKLIN ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CARTHAGE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "615-620-7875",
      "postal_code": "390513603",
      "state": "MS",
      "telephone_number": "601-267-4551"
    },
    {
      "address_1": "1101 E FRANKLIN ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CARTHAGE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "615-620-7875",
      "postal_code": "390513603",
      "state": "MS",
      "telephone_number": "601-267-4551"
    }
  ],
  "taxonomies": [
    {
      "code": "314000000X",
      "desc": "Skilled Nursing Facility",
      "license": "378",
      "primary": true,
      "state": "MS",
      "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"
      }
    ]
  }
}