{
"Npi": {
"NPI": "1205983517",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "VASHON ISLAND COMMUNITY CARE",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "15333 VASHON HWY SW",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "VASHON ISLAND",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98070-3831",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "206-567-4421",
"MailingAddressFaxNumber": "206-567-5052",
"FirstLinePracticeLocationAddress": "15333 VASHON HWY SW",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "VASHON ISLAND",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98070-3831",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "206-567-4421",
"PracticeLocationAddressFaxNumber": "206-567-5052",
"EnumerationDate": "01/05/2007",
"LastUpdateDate": "04/04/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ANSELL",
"AuthorizedOfficialFirstName": "JANELLE",
"AuthorizedOfficialMiddleName": "ELIZABETH",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "NHA00002425",
"AuthorizedOfficialTelephoneNumber": "206-567-4421",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "1331",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}