{"npi":"1215979059","type":"NPI-2","status":"active","name":{"display":"Wilora Lake Healthcare LLC","other":[],"organization_name":"WILORA LAKE HEALTHCARE LLC","authorised_official":"Tim Lehner"},"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":"NC","license":"NH572"}]},"addresses":[{"purpose":"LOCATION","street_1":"6001 WILORA LAKE RD","city":"CHARLOTTE","state":"NC","postal_code":"282122833","country_code":"US","phone":"7045632922","fax":"7045632814"},{"purpose":"MAILING","street_1":"6001 WILORA LAKE RD","city":"CHARLOTTE","state":"NC","postal_code":"282122833","country_code":"US","phone":"7045632922","fax":"7045632814"}],"license":{"state":"NC","number":"NH572"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1215979059","state":"NC","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-06-12","last_updated":"2024-09-13","_meta":{"source":"NPPES","snapshot_date":"2024-09-13","doc_url":"https://findmynpi.com/api"}}