{
"Npi": {
"NPI": "1437210515",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GRAYSON HOUSING INCORPORATED",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "505 WILLIAM THOMASON BYWAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LEITCHFIELD",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "42754-1419",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "270-259-4028",
"MailingAddressFaxNumber": "270-259-2417",
"FirstLinePracticeLocationAddress": "505 WILLIAM THOMASON BYWAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LEITCHFIELD",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "42754-1419",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "270-259-4028",
"PracticeLocationAddressFaxNumber": "270-259-2417",
"EnumerationDate": "12/13/2006",
"LastUpdateDate": "01/20/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VANCE",
"AuthorizedOfficialFirstName": "JOSEPH",
"AuthorizedOfficialMiddleName": "BENJAMIN",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "NHA",
"AuthorizedOfficialTelephoneNumber": "270-259-4028",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "100150",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}