{
"Npi": {
"NPI": "1508021122",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ASHVILLE MANOR NURSING HOME",
"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": "PO BOX 130",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ASHVILLE",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "35953-0130",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "205-594-5148",
"MailingAddressFaxNumber": "205-594-4507",
"FirstLinePracticeLocationAddress": "38286 US HIGHWAY 231",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ASHVILLE",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "35953-7338",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "205-594-5148",
"PracticeLocationAddressFaxNumber": "205-594-4507",
"EnumerationDate": "07/23/2008",
"LastUpdateDate": "09/26/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HAYMON",
"AuthorizedOfficialFirstName": "TEDDY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "VICE PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "256-638-8479",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "12672",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}