{
"Npi": {
"NPI": "1235174517",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MANOR CARE OF LYNNWOOD WA, ASSOCIATION",
"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": "333 N SUMMIT ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TOLEDO",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "43604-2615",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "419-252-5500",
"MailingAddressFaxNumber": "877-385-9446",
"FirstLinePracticeLocationAddress": "3701 188TH ST SW",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LYNNWOOD",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98037-7626",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "425-775-9222",
"PracticeLocationAddressFaxNumber": "425-712-3685",
"EnumerationDate": "06/19/2006",
"LastUpdateDate": "02/11/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ALLEN",
"AuthorizedOfficialFirstName": "MARTIN",
"AuthorizedOfficialMiddleName": "D",
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "419-252-5734",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "956",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}