{
"Npi": {
"NPI": "1578885752",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JOST ENTERPRISES",
"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": "4112 SPRINGHILL RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PORTAGE",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "15946-7402",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "814-736-6000",
"MailingAddressFaxNumber": "814-736-4299",
"FirstLinePracticeLocationAddress": "4112 SPRINGHILL RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PORTAGE",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "15946-7402",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "814-736-6000",
"PracticeLocationAddressFaxNumber": "814-736-4299",
"EnumerationDate": "02/16/2010",
"LastUpdateDate": "02/16/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PANICK",
"AuthorizedOfficialFirstName": "STEVEN",
"AuthorizedOfficialMiddleName": "D",
"AuthorizedOfficialTitle": "BOARD PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "R.N.",
"AuthorizedOfficialTelephoneNumber": "814-736-6000",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "313M00000X",
"TaxonomyName": "Nursing Facility/Intermediate Care Facility",
"LicenseNumber": "09750201",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}