{
  "npi": "1518009273",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "KEARY",
    "authorized_official_last_name": "ALLICON",
    "authorized_official_middle_name": "T",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "4132845302",
    "authorized_official_title_or_position": "Treasurer & CFO",
    "enumeration_date": "2007-02-12",
    "last_updated": "2014-10-31",
    "organization_name": "BAYSTATE WING HOSPITAL CORPORATION",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "BAYSTATE WING HOSPITAL CORPORATION",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "4 SPRINGFIELD ST., BLDG. 3, 4TH FL.",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "THREE RIVERS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "413-283-8084",
      "postal_code": "010801242",
      "state": "MA",
      "telephone_number": "413-283-9715"
    },
    {
      "address_1": "40 WRIGHT ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "PALMER",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "413-283-8084",
      "postal_code": "010691138",
      "state": "MA",
      "telephone_number": "413-283-9715"
    }
  ],
  "taxonomies": [
    {
      "code": "251E00000X",
      "desc": "Home Health",
      "license": "2181",
      "primary": true,
      "state": "MA",
      "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)"
      }
    ]
  }
}