{
  "npi": "1912540170",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "KRISTIAN",
    "authorized_official_last_name": "SKOGEN",
    "authorized_official_telephone_number": "6164641117",
    "authorized_official_title_or_position": "CEO",
    "certification_date": "2023-02-07",
    "enumeration_date": "2019-10-21",
    "last_updated": "2023-02-07",
    "organization_name": "ADVISACARE SOLUTIONS OF NORTHERN MICHIGAN, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "218 W GARFIELD AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CHARLEVOIX",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "231-547-6238",
      "postal_code": "497201631",
      "state": "MI",
      "telephone_number": "231-547-6092"
    },
    {
      "address_1": "4234 CASCADE RD SE",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "GRAND RAPIDS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "616-464-0448",
      "postal_code": "495468384",
      "state": "MI",
      "telephone_number": "616-464-1117"
    }
  ],
  "taxonomies": [
    {
      "code": "251G00000X",
      "desc": "Hospice Care, Community Based",
      "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 Agencies — Hospice Care, Community Based",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "B4[14]",
        "medicare_type": "Hospice"
      }
    ]
  }
}