{"npi":"1083228332","type":"NPI-2","status":"active","name":{"display":"Christallis Manor Iii","other":[],"organization_name":"CHRISTALLIS MANOR III","authorised_official":"Amparo Dierking"},"specialty":{"primary_taxonomy":"3104A0630X","primary_taxonomy_description":"Assisted Living Facility","slug":"assisted-living-facility","schema_org_specialty":"Geriatric","all":[{"code":"3104A0630X","description":"Assisted Living Facility","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"420 N RIVERSIDE DR","city":"POMPANO BEACH","state":"FL","postal_code":"330625035","country_code":"US","phone":"9542745573"},{"purpose":"MAILING","street_1":"420 N RIVERSIDE DR","city":"POMPANO BEACH","state":"FL","postal_code":"330625035","country_code":"US","phone":"9542745573"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"107611700","state":"FL","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2020-09-03","last_updated":"2021-03-18","_meta":{"source":"NPPES","snapshot_date":"2021-03-18","doc_url":"https://findmynpi.com/api"}}