{
"Npi": {
"NPI": "1548458235",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "REHABILITATION THERAPY INC.",
"ParentOrgTIN": null,
"OrgName": "ROSENWALD C. ROBERTSON ADULT DAY HEALTH CARE",
"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": "3400 ELVAS AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SACRAMENTO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95819-1913",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "916-452-2529",
"MailingAddressFaxNumber": "916-452-3129",
"FirstLinePracticeLocationAddress": "3400 ELVAS AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SACRAMENTO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95819-1913",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "916-452-2529",
"PracticeLocationAddressFaxNumber": "916-452-3129",
"EnumerationDate": "10/09/2007",
"LastUpdateDate": "10/09/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MACDONALD",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "P.",
"AuthorizedOfficialTitle": "ADMINISTRATOR/PROGRAM DIRECTOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MSDT, DPI",
"AuthorizedOfficialTelephoneNumber": "916-452-2529",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA0600X",
"TaxonomyName": "Adult Day Care Clinic/Center",
"LicenseNumber": "070000518",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}