{"npi":"1164540522","type":"NPI-2","status":"active","name":{"display":"Mako Residence","other":[],"organization_name":"MAKO RESIDENCE","authorised_official":"Edwin Kennedy"},"specialty":{"primary_taxonomy":"320600000X","primary_taxonomy_description":"Intellectual and/or Developmental Disabilities Residential Treatment Facility","slug":"intellectual-and-or-developmental-disabilities-residential-treatment-facility","schema_org_specialty":null,"all":[{"code":"320600000X","description":"Intellectual and/or Developmental Disabilities Residential Treatment Facility","primary":true,"state":"NY","license":"6186446"}]},"addresses":[{"purpose":"LOCATION","street_1":"380 EDS RD","city":"SOUTHOLD","state":"NY","postal_code":"119713716","country_code":"US","phone":"6316653434"},{"purpose":"MAILING","street_1":"380 EDS RD","city":"SOUTHOLD","state":"NY","postal_code":"119713716","country_code":"US","phone":"6316653434"}],"license":{"state":"NY","number":"6186446"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"02245898","state":"NY","issuer":null},{"type_code":"01","label":"Other","value":"6186446","state":"NY","issuer":"OPERATING CERTIFICATE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-03-26","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}