{"npi":"1073507562","type":"NPI-2","status":"active","name":{"display":"Tdc Convalescent Inc.","other":[],"organization_name":"TDC CONVALESCENT INC.","authorised_official":"Thomas Clark"},"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":"CA","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3034 E HERNDON AVE","city":"FRESNO","state":"CA","postal_code":"937200300","country_code":"US","phone":"5593210883","fax":"5593217783"},{"purpose":"MAILING","street_1":"3034 E HERNDON AVE","city":"FRESNO","state":"CA","postal_code":"937200300","country_code":"US","phone":"5593210883","fax":"5593217783"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"ZZR05199K","state":"CA","issuer":null},{"type_code":"05","label":"Medicaid","value":"LTC70096F","state":"CA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-09-09","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}