{
"Npi": {
"NPI": "1861531881",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SEASONS HEALTHCARE GROUP, 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": "24579 BROADWAY AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OAKWOOD VILLAGE",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44146-6338",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "456 SEASONS RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "STOW",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44224-1020",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "330-688-5553",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/06/2007",
"LastUpdateDate": "03/17/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PERKINS",
"AuthorizedOfficialFirstName": "DARLA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "ADMINISTRATOR",
"AuthorizedOfficialTelephoneNumber": "330-688-5553",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "6126",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}