{
"Npi": {
"NPI": "1477720589",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ANSARA FAMILY HOME LLC",
"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": "8225 59TH ST NW",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GIG HARBOR",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98335-6261",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "253-857-6566",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "424 174TH PL NE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BELLEVUE",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98008-4245",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "425-562-3434",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/08/2008",
"LastUpdateDate": "05/08/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ANSARA",
"AuthorizedOfficialFirstName": "CHERYL",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "OWNER/MANAGER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "253-857-6566",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "311ZA0620X",
"TaxonomyName": "Adult Care Home Facility",
"LicenseNumber": "750183",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}