{"npi":"1104530682","type":"NPI-2","status":"active","name":{"display":"Clinic Leasing Co., LLC","other":[],"organization_name":"CLINIC LEASING CO., LLC","authorised_official":"Charles Stoltz"},"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":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1053 CLINIC DR","city":"IVYDALE","state":"WV","postal_code":"251138266","country_code":"US","phone":"3042864204"},{"purpose":"MAILING","street_1":"10123 ALLIANCE RD","city":"BLUE ASH","state":"OH","postal_code":"452424887","country_code":"US","phone":"5135301808"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20230623001012","type_code":"00-18","type_desc":"PART A PROVIDER - SKILLED NURSING FACILITY","state":"WV","pac_id":"7315305315"}]},"enumeration_date":"2023-01-10","last_updated":"2025-05-01","_meta":{"source":"NPPES","snapshot_date":"2025-05-01","doc_url":"https://findmynpi.com/api"}}