{
"Npi": {
"NPI": "1942313663",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MEDICAL FACILITIES OF AMERICA XLVI",
"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": "2917 PENN FOREST BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROANOKE",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "24018-4374",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "540-989-3618",
"MailingAddressFaxNumber": "540-774-9443",
"FirstLinePracticeLocationAddress": "235 EVERGREEN AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "APPOMATTOX",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "24522-4501",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "434-352-7420",
"PracticeLocationAddressFaxNumber": "434-352-0663",
"EnumerationDate": "08/16/2006",
"LastUpdateDate": "05/19/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MARTIN",
"AuthorizedOfficialFirstName": "CLAUDE",
"AuthorizedOfficialMiddleName": "NOVEL",
"AuthorizedOfficialTitle": "CFO, MFA, INC. GENERAL PARTNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "III",
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "540-776-7526",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "NH2478",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}