{"npi":"1790954592","type":"NPI-2","status":"active","name":{"display":"Heavenly Palace Adult Center, Inc.","other":[],"organization_name":"HEAVENLY PALACE ADULT CENTER, INC.","authorised_official":"Patrick Jackson"},"specialty":{"primary_taxonomy":"305R00000X","primary_taxonomy_description":"Preferred Provider Organization","slug":"preferred-provider-organization","schema_org_specialty":null,"all":[{"code":"305R00000X","description":"Preferred Provider Organization","primary":true,"state":"MS","license":"07186736"}]},"addresses":[{"purpose":"LOCATION","street_1":"1654 HIGHWAY 1 N","city":"GREENVILLE","state":"MS","postal_code":"387010000","country_code":"US","phone":"6623787262"},{"purpose":"MAILING","street_1":"1654 HIGHWAY 1 N","city":"GREENVILLE","state":"MS","postal_code":"387031943","country_code":"US","phone":"6623787262"}],"license":{"state":"MS","number":"07186736"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"07186736","state":"MS","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-02-26","last_updated":"2008-02-26","_meta":{"source":"NPPES","snapshot_date":"2008-02-26","doc_url":"https://findmynpi.com/api"}}