{
"Npi": {
"NPI": "1467931683",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CHENEY HOMES INC",
"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": "1755 CANTERBURY LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HAYWARD",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94544-8710",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "510-861-2635",
"MailingAddressFaxNumber": "510-784-0294",
"FirstLinePracticeLocationAddress": "1644 CHENEY LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HAYWARD",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "94545-4331",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "510-670-0239",
"PracticeLocationAddressFaxNumber": "510-784-0294",
"EnumerationDate": "08/08/2018",
"LastUpdateDate": "08/08/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "REGINALDO-ROXAS",
"AuthorizedOfficialFirstName": "RITA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ADMINISTRATOR/RN",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "510-861-2635",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "315P00000X",
"TaxonomyName": "Intellectual Disabilities Intermediate Care Facility",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}