{"npi":"1063696243","type":"NPI-2","status":"active","name":{"display":"1631 Ritter Drive Operations LLC","other":[],"organization_name":"1631 RITTER DRIVE OPERATIONS LLC","authorised_official":"Michael Berg"},"specialty":{"primary_taxonomy":"314000000X","primary_taxonomy_description":"Skilled Nursing Facility","slug":"skilled-nursing-facility","schema_org_specialty":null,"all":[{"code":"314000000X","description":"Skilled Nursing Facility","primary":true,"state":"WV","license":"116"}]},"addresses":[{"purpose":"LOCATION","street_1":"1631 RITTER DR","city":"DANIELS","state":"WV","postal_code":"258329264","country_code":"US","phone":"3047693051","fax":"3047632865"},{"purpose":"MAILING","street_1":"101 E STATE ST","city":"KENNETT SQUARE","state":"PA","postal_code":"193483109","country_code":"US","phone":"6109254436","fax":"6109254351"}],"license":{"state":"WV","number":"116"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0002816000","state":"PA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20080411000025","type_code":"00-18","type_desc":"PART A PROVIDER - SKILLED NURSING FACILITY","state":"WV","pac_id":"3476630781"}]},"enumeration_date":"2007-12-24","last_updated":"2025-07-10","_meta":{"source":"NPPES","snapshot_date":"2025-07-10","doc_url":"https://findmynpi.com/api"}}