{
"Npi": {
"NPI": "1679617963",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CHESTNUT HILL REHAB HOSPITAL, LLC",
"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": "1022 MAIN ST",
"SecondLineMailingAddress": "SUITE H",
"MailingAddressCityName": "DUNEDIN",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34698-5238",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "727-723-3000",
"MailingAddressFaxNumber": "727-723-3076",
"FirstLinePracticeLocationAddress": "8601 STENTON AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WYNDMOOR",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19038-8312",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "215-233-6200",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/19/2007",
"LastUpdateDate": "04/08/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ATKINS",
"AuthorizedOfficialFirstName": "BEN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "727-723-3000",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "283X00000X",
"TaxonomyName": "Rehabilitation Hospital",
"LicenseNumber": "010401",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}