{
"Npi": {
"NPI": "1609956929",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SENIOR SELECT INC.",
"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": "2830 COPLEY RD STE 2",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "COPLEY",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44321-2142",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "330-665-4663",
"MailingAddressFaxNumber": "330-666-7816",
"FirstLinePracticeLocationAddress": "6133 ROCKSIDE RD STE 101",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "INDEPENDENCE",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44131",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "216-455-0635",
"PracticeLocationAddressFaxNumber": "216-455-0538",
"EnumerationDate": "10/17/2006",
"LastUpdateDate": "02/19/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LANCIANESE",
"AuthorizedOfficialFirstName": "ANTHONY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "330-289-3824",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "975291",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}