{"npi":"1043206576","type":"NPI-2","status":"active","name":{"display":"Genesis Corporation","other":[],"organization_name":"GENESIS CORPORATION","authorised_official":"Pamela Graham"},"specialty":{"primary_taxonomy":"315P00000X","primary_taxonomy_description":"Intellectual Disabilities Intermediate Care Facility","slug":"intellectual-disabilities-intermediate-care-facility","schema_org_specialty":null,"all":[{"code":"315P00000X","description":"Intellectual Disabilities Intermediate Care Facility","primary":true,"state":"CA","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"273 MOONCREST LN","city":"SANTA MARIA","state":"CA","postal_code":"934553713","country_code":"US","phone":"8059375224","fax":"8059340860"},{"purpose":"MAILING","street_1":"PO BOX 626","city":"PISMO BEACH","state":"CA","postal_code":"934480626","country_code":"US","phone":"8054899472","fax":"8054746893"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"LTC80923F","state":"CA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-09-20","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}