{"npi":"1003852534","type":"NPI-2","status":"active","name":{"display":"Custom Case Management","other":[],"organization_name":"CUSTOM CASE MANAGEMENT","authorised_official":"Marianne Rizzolo"},"specialty":{"primary_taxonomy":"251B00000X","primary_taxonomy_description":"Case Management Agency","slug":"case-management-agency","schema_org_specialty":null,"all":[{"code":"251B00000X","description":"Case Management Agency","primary":true,"state":"NC","license":"2007"}]},"addresses":[{"purpose":"LOCATION","street_1":"112 S SPRUCE ST","city":"WINSTON SALEM","state":"NC","postal_code":"271013767","country_code":"US","phone":"3364800023","fax":"3367687229"},{"purpose":"MAILING","street_1":"112 S SPRUCE ST","city":"WINSTON SALEM","state":"NC","postal_code":"271013767","country_code":"US","phone":"3364800023","fax":"3367687229"}],"license":{"state":"NC","number":"2007"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"8300346G","state":"NC","issuer":null},{"type_code":"05","label":"Medicaid","value":"8300346J","state":"NC","issuer":null},{"type_code":"05","label":"Medicaid","value":"8300346","state":"NC","issuer":null},{"type_code":"05","label":"Medicaid","value":"8300346B","state":"NC","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-06-22","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}