{
"Npi": {
"NPI": "1508979360",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "EPISCOPAL COMMUNITIES & SERVICES FOR SENIORS",
"ParentOrgTIN": null,
"OrgName": "EPISCOPAL COMMUNITIES & SERVICES FOR SENIORS",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1111 S ARROYO PARKWAY",
"SecondLineMailingAddress": "STE 230",
"MailingAddressCityName": "PASADENA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91105-3259",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "626-403-1482",
"MailingAddressFaxNumber": "626-403-5881",
"FirstLinePracticeLocationAddress": "3 PURSUIT",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ALISO VIEJO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92656",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "949-389-8500",
"PracticeLocationAddressFaxNumber": "949-362-5000",
"EnumerationDate": "08/16/2006",
"LastUpdateDate": "06/30/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NAY",
"AuthorizedOfficialFirstName": "KRISTA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "NHA, RCFE, MS",
"AuthorizedOfficialTelephoneNumber": "949-389-8501",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "313M00000X",
"TaxonomyName": "Nursing Facility/Intermediate Care Facility",
"LicenseNumber": "060000937",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}