{
  "npi": "1801124284",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "JAMES",
    "authorized_official_last_name": "COLWELL",
    "authorized_official_middle_name": "B.",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "3184422284",
    "authorized_official_title_or_position": "Program Manager",
    "enumeration_date": "2009-11-24",
    "last_updated": "2009-11-24",
    "organization_name": "COLWELL INTEREST, INC.",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "COLWELL INTEREST, INC.",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1111 MAIN ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "PINEVILLE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "318-448-1427",
      "postal_code": "713606423",
      "state": "LA",
      "telephone_number": "318-442-2284"
    },
    {
      "address_1": "167 POOLE RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MANSFIELD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "318-448-1427",
      "postal_code": "710525007",
      "state": "LA",
      "telephone_number": "318-442-2284"
    }
  ],
  "taxonomies": [
    {
      "code": "320900000X",
      "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
      "license": "1062",
      "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": []
  }
}