{
"Npi": {
"NPI": "1750521001",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "WADSWORTH ALF",
"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": "540 GREAT OAKS TRL",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WADSWORTH",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44281-8799",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "330-336-3472",
"MailingAddressFaxNumber": "330-334-0647",
"FirstLinePracticeLocationAddress": "540 GREAT OAKS TRL",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WADSWORTH",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44281-8799",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "330-336-3472",
"PracticeLocationAddressFaxNumber": "330-334-0647",
"EnumerationDate": "02/26/2009",
"LastUpdateDate": "02/26/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BALASCOE",
"AuthorizedOfficialFirstName": "CAROL",
"AuthorizedOfficialMiddleName": "S.",
"AuthorizedOfficialTitle": "CONTROLLER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "440-333-2132",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "2059R",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}