{
  "npi": "1942643259",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "NICHOLAS",
    "authorized_official_last_name": "ROBERTS",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "9542491624",
    "authorized_official_title_or_position": "owner/Administrator",
    "enumeration_date": "2013-04-17",
    "last_updated": "2013-04-17",
    "organization_name": "ABSOLUTE CARE WELLEBY INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "14900 SW 27TH ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "DAVIE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "333312604",
      "state": "FL"
    },
    {
      "address_1": "3621 NW 90TH TER",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "SUNRISE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "333516470",
      "state": "FL",
      "telephone_number": "954-747-7265"
    }
  ],
  "taxonomies": [
    {
      "code": "302R00000X",
      "desc": "Health Maintenance Organization",
      "license": "AL 8626",
      "primary": true,
      "state": "FL",
      "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 Health Maintenance Organization",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}