{
"Npi": {
"NPI": "1609167154",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "KEARSLEY OPERATOR LP",
"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": "575 ROUTE 70 FL 2",
"SecondLineMailingAddress": "P.O. BOX 1030",
"MailingAddressCityName": "BRICK",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08723-4042",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "732-415-6022",
"MailingAddressFaxNumber": "732-415-2007",
"FirstLinePracticeLocationAddress": "2100 NORTH 49TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PHILADELPHIA",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19131-2698",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "215-877-1565",
"PracticeLocationAddressFaxNumber": "215-877-7222",
"EnumerationDate": "05/02/2011",
"LastUpdateDate": "04/04/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KOHN",
"AuthorizedOfficialFirstName": "YONAH",
"AuthorizedOfficialMiddleName": "T.",
"AuthorizedOfficialTitle": "PARTNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "732-415-6022",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "032502",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}