{
"Npi": {
"NPI": "1306830625",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "PHI",
"ParentOrgTIN": null,
"OrgName": "PRESBYTERIAN HOMES INC.",
"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": "1 TRINITY DR E",
"SecondLineMailingAddress": "SUITE 201",
"MailingAddressCityName": "DILLSBURG",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "17019-8522",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "717-502-8595",
"MailingAddressFaxNumber": "717-502-8842",
"FirstLinePracticeLocationAddress": "1175 MCKEE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DOVER",
"PracticeLocationAddressStateName": "DE",
"PracticeLocationAddressPostalCode": "19904-2268",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "717-502-8595",
"PracticeLocationAddressFaxNumber": "717-502-8840",
"EnumerationDate": "09/01/2005",
"LastUpdateDate": "07/11/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CASNER",
"AuthorizedOfficialFirstName": "DONNA",
"AuthorizedOfficialMiddleName": "B",
"AuthorizedOfficialTitle": "VP/CONTROLLER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "717-502-8922",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "DE00225",
"LicenseNumberStateCode": "DE",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}