{"npi":"1215076062","type":"NPI-2","status":"active","name":{"display":"Elm Park, INC","other":[],"organization_name":"ELM PARK, INC","authorised_official":"Katherine Lance"},"specialty":{"primary_taxonomy":"315P00000X","primary_taxonomy_description":"Intellectual Disabilities Intermediate Care Facility","slug":"intellectual-disabilities-intermediate-care-facility","schema_org_specialty":null,"all":[{"code":"315P00000X","description":"Intellectual Disabilities Intermediate Care Facility","primary":true,"state":"CA","license":"960001105"}]},"addresses":[{"purpose":"LOCATION","street_1":"4300 LOS FLORES BLVD","city":"LYNWOOD","state":"CA","postal_code":"902622927","country_code":"US","phone":"3106386691"},{"purpose":"MAILING","street_1":"3351 E IMPERIAL HWY","city":"LYNWOOD","state":"CA","postal_code":"902623305","country_code":"US","phone":"3106386691"}],"license":{"state":"CA","number":"960001105"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"LTC60909F","state":"CA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-02-06","last_updated":"2013-09-11","_meta":{"source":"NPPES","snapshot_date":"2013-09-11","doc_url":"https://findmynpi.com/api"}}