{
"Npi": {
"NPI": "1235400086",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "YOUNG AT HEART RCFE",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "9882 CORTINO WAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ELK GROVE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95757-3049",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "916-686-8822",
"MailingAddressFaxNumber": "916-686-5515",
"FirstLinePracticeLocationAddress": "9882 CORTINO WAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ELK GROVE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95757-3049",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "916-686-8822",
"PracticeLocationAddressFaxNumber": "916-686-5515",
"EnumerationDate": "01/25/2012",
"LastUpdateDate": "01/25/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SISAYAN",
"AuthorizedOfficialFirstName": "LILLIAN",
"AuthorizedOfficialMiddleName": "T.",
"AuthorizedOfficialTitle": "ADMINISTRATOR/OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "R.N. BSN",
"AuthorizedOfficialTelephoneNumber": "916-686-8822",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "347000733",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}