{
"Npi": {
"NPI": "1639313067",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SENIORCARE HOMES LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5200 W 94TH TER",
"SecondLineMailingAddress": "SUITE 115",
"MailingAddressCityName": "PRAIRIE VILLAGE",
"MailingAddressStateName": "KS",
"MailingAddressPostalCode": "66207-2522",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "913-236-0036",
"MailingAddressFaxNumber": "913-432-3055",
"FirstLinePracticeLocationAddress": "6918 W 68TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OVERLAND PARK",
"PracticeLocationAddressStateName": "KS",
"PracticeLocationAddressPostalCode": "66204-1301",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "913-236-0036",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/29/2009",
"LastUpdateDate": "04/29/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PULLINS",
"AuthorizedOfficialFirstName": "JERALD",
"AuthorizedOfficialMiddleName": "LESLIE",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "913-236-0036",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "311ZA0620X",
"TaxonomyName": "Adult Care Home Facility",
"LicenseNumber": "B046036",
"LicenseNumberStateCode": "KS",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "311ZA0620X",
"TaxonomyName": "Adult Care Home Facility",
"LicenseNumber": "B046040",
"LicenseNumberStateCode": "KS",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}