{"npi":"1053533596","type":"NPI-2","status":"active","name":{"display":"Community Access To Child Health Of Brevard, Inc.","other":[],"organization_name":"COMMUNITY ACCESS TO CHILD HEALTH OF BREVARD, INC.","authorised_official":"Lisa Gemmill"},"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":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1264 US HIGHWAY 1 STE 103","city":"ROCKLEDGE","state":"FL","postal_code":"329552746","country_code":"US","phone":"3216343688","fax":"3215040955"},{"purpose":"MAILING","street_1":"1264 US HIGHWAY 1 STE 103","city":"ROCKLEDGE","state":"FL","postal_code":"329552746","country_code":"US","phone":"3216343688","fax":"3215040955"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"058384702","state":"FL","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-05-03","last_updated":"2022-02-15","_meta":{"source":"NPPES","snapshot_date":"2022-02-15","doc_url":"https://findmynpi.com/api"}}