{
  "npi": "1861904625",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "MORRIS",
    "authorized_official_last_name": "LO9NG",
    "authorized_official_middle_name": "D",
    "authorized_official_telephone_number": "3178701396",
    "authorized_official_title_or_position": "CEO",
    "enumeration_date": "2017-11-01",
    "last_updated": "2019-01-23",
    "organization_name": "ASSURANCE HEALTH HUDSON, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "6260 HUDSON CROSSING PKWY",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "HUDSON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "303-267-3023",
      "postal_code": "442364347",
      "state": "OH",
      "telephone_number": "303-208-9317"
    },
    {
      "address_1": "8465 KEYSTONE XING STE 210",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "INDIANAPOLIS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "317-757-8491",
      "postal_code": "462404354",
      "state": "IN",
      "telephone_number": "317-870-1396"
    }
  ],
  "taxonomies": [
    {
      "code": "283Q00000X",
      "desc": "Psychiatric Hospital",
      "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 Hospitals — Psychiatric Hospital",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "A0[7]",
        "medicare_type": "Hospital-Psychiatric (PPS excluded)"
      }
    ]
  }
}