{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "FHS CROSSROADS, INC.",
"LastName": null,
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"NamePrefix": null,
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"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "25000 COUNTRY CLUB BLVD STE 255",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORTH OLMSTED",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44070-5337",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "440-614-0160",
"MailingAddressFaxNumber": "440-614-0168",
"FirstLinePracticeLocationAddress": "208 N CASSEL RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "VANDALIA",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "45377-2926",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "937-898-4202",
"PracticeLocationAddressFaxNumber": "937-898-8699",
"EnumerationDate": "11/19/2018",
"LastUpdateDate": "11/19/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PARKER",
"AuthorizedOfficialFirstName": "DANIEL",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "330-554-6619",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}