{
"Npi": {
"NPI": "1831510262",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SUNNYSIDE PRESBYTERIAN HOME",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "600 UNIVERSITY BLVD STE L",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HARRISONBURG",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22801-3763",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "540-568-8206",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "600 UNIVERSITY BLVD STE L",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HARRISONBURG",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "22801-3763",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "540-568-8206",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/03/2014",
"LastUpdateDate": "05/26/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KANNEY",
"AuthorizedOfficialFirstName": "LISA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "EXECUTIVE ASSISTANT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "540-568-8206",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "313M00000X",
"TaxonomyName": "Nursing Facility/Intermediate Care Facility",
"LicenseNumber": "NH2700",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}