{
  "npi": "1609053727",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "SHERRI",
    "authorized_official_last_name": "EVANS",
    "authorized_official_middle_name": "A",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "3186412003",
    "authorized_official_title_or_position": "MR DD Regional Administrator",
    "enumeration_date": "2008-01-31",
    "last_updated": "2008-01-31",
    "organization_name": "PINECREST SUPPORTS AND SERVICES CENTER",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "P. O. BOX 5191",
      "address_2": "ATTENTION: QMI",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "PINEVILLE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "318-641-2309",
      "postal_code": "713615191",
      "state": "LA",
      "telephone_number": "318-641-2000"
    },
    {
      "address_1": "224 ROBERTSON RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BALL",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "318-640-3955",
      "postal_code": "714053863",
      "state": "LA",
      "telephone_number": "318-640-3955"
    }
  ],
  "taxonomies": [
    {
      "code": "320900000X",
      "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
      "license": "1023",
      "primary": true,
      "state": "LA",
      "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 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}