{
"Npi": {
"NPI": "1891822284",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "ALBRIGHT CARE SERVICES",
"ParentOrgTIN": null,
"OrgName": "ALBRIGHT LIFE",
"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": "90 MAPLEWOOD DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LEWISBURG",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "17837-6307",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "570-524-9930",
"MailingAddressFaxNumber": "570-524-9068",
"FirstLinePracticeLocationAddress": "417 W FREDERICK ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LANCASTER",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "17603-2804",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "570-524-9930",
"PracticeLocationAddressFaxNumber": "570-524-9068",
"EnumerationDate": "02/27/2007",
"LastUpdateDate": "09/22/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SMITH",
"AuthorizedOfficialFirstName": "SHAUN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "VP OF OPERATIONS FOR ALBRIGHT CARE",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "570-524-9930",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251T00000X",
"TaxonomyName": "PACE Provider Organization",
"LicenseNumber": "20-5134697",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}