{
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"EIN": null,
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"OrgName": "CONSOLIDATED RESOURCES HEALTH CARE FUND I, L.P.",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"FirstLineMailingAddress": "3001 KEITH ST NW",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CLEVELAND",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37312-3713",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "423-473-5751",
"MailingAddressFaxNumber": "423-993-8342",
"FirstLinePracticeLocationAddress": "1045 S 308TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FEDERAL WAY",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98003-4706",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "253-946-2273",
"PracticeLocationAddressFaxNumber": "253-946-1596",
"EnumerationDate": "05/25/2006",
"LastUpdateDate": "01/07/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CROSS",
"AuthorizedOfficialFirstName": "CINDY",
"AuthorizedOfficialMiddleName": "S.",
"AuthorizedOfficialTitle": "ASSISTANT SECRETARY",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "423-473-5867",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "1107",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}