{
  "npi": "1568972016",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "AMBER",
    "authorized_official_last_name": "WILLIAMS",
    "authorized_official_name_prefix": "Mrs.",
    "authorized_official_telephone_number": "8452484554",
    "authorized_official_title_or_position": "CEO",
    "enumeration_date": "2017-10-10",
    "last_updated": "2018-03-17",
    "organization_name": "ETROS LIVING, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2986 N GRAND FIR DR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "COEUR D ALENE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "838156253",
      "state": "ID",
      "telephone_number": "845-248-4554"
    },
    {
      "address_1": "840 E DALTON AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "COEUR D ALENE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "208-665-9250",
      "postal_code": "838159338",
      "state": "ID",
      "telephone_number": "208-665-2100"
    }
  ],
  "taxonomies": [
    {
      "code": "311500000X",
      "desc": "Alzheimer Center (Dementia Center)",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "315D00000X",
      "desc": "Hospice, Inpatient",
      "license": null,
      "primary": false,
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      "taxonomy_group": ""
    },
    {
      "code": "3104A0625X",
      "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
      "license": null,
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      "taxonomy_group": ""
    },
    {
      "code": "3104A0630X",
      "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "310400000X",
      "desc": "Assisted Living Facility",
      "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 Assisted Living Facility",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}