{
"Npi": {
"NPI": "1962873927",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SHAMIN-HOPEWELL ASSISTED LIVING",
"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": "2000 WARE BOTTOM SPRING RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHESTER",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "23836-4200",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "804-796-2038",
"MailingAddressFaxNumber": "804-796-2394",
"FirstLinePracticeLocationAddress": "5301 PLAZA DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HOPEWELL",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "23860-7305",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "804-458-5830",
"PracticeLocationAddressFaxNumber": "804-458-5305",
"EnumerationDate": "10/15/2015",
"LastUpdateDate": "10/15/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BURKE",
"AuthorizedOfficialFirstName": "LEIGH",
"AuthorizedOfficialMiddleName": "P",
"AuthorizedOfficialTitle": "VICE PRESIDENT OF OPERATIONS",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MS",
"AuthorizedOfficialTelephoneNumber": "804-796-2038",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": "ALF1058375",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}