{
  "npi": "1821030602",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "MICHAEL",
    "authorized_official_last_name": "BEMIS",
    "authorized_official_telephone_number": "3082352900",
    "authorized_official_title_or_position": "OWNER",
    "enumeration_date": "2006-06-13",
    "last_updated": "2016-03-07",
    "organization_name": "HOME OXYGEN SERVICE, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "129 S CHESTNUT ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "KIMBALL",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "308-235-2901",
      "postal_code": "691451256",
      "state": "NE",
      "telephone_number": "308-235-2900"
    },
    {
      "address_1": "125 S CHESTNUT ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "KIMBALL",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "308-235-2901",
      "postal_code": "691451256",
      "state": "NE",
      "telephone_number": "308-235-2900"
    }
  ],
  "taxonomies": [
    {
      "code": "3336C0003X",
      "desc": "Pharmacy, Community/Retail Pharmacy",
      "license": "2896",
      "primary": false,
      "state": "NE",
      "taxonomy_group": ""
    },
    {
      "code": "333600000X",
      "desc": "Pharmacy",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "332BX2000X",
      "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
      "license": "2896",
      "primary": true,
      "state": "NE",
      "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 Suppliers — Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "B1",
        "medicare_type": "Oxygen supplier"
      }
    ]
  }
}