{"npi":"1295236701","type":"NPI-2","status":"active","name":{"display":"Yacnorev Community Services LLC","other":[],"organization_name":"YACNOREV COMMUNITY SERVICES LLC","authorised_official":"Veronica Bunbury"},"specialty":{"primary_taxonomy":"251B00000X","primary_taxonomy_description":"Case Management Agency","slug":"case-management-agency","schema_org_specialty":null,"all":[{"code":"251B00000X","description":"Case Management Agency","primary":true,"state":"FL","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"750 S ORANGE BLOSSOM TRL STE 119","city":"ORLANDO","state":"FL","postal_code":"328053154","country_code":"US","phone":"4075585058","fax":"8442466240"},{"purpose":"MAILING","street_1":"750 S ORANGE BLOSSOM TRL STE 119","city":"ORLANDO","state":"FL","postal_code":"328053154","country_code":"US","phone":"4075585058","fax":"8442466240"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1720325186","state":"FL","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2018-02-21","last_updated":"2018-02-21","_meta":{"source":"NPPES","snapshot_date":"2018-02-21","doc_url":"https://findmynpi.com/api"}}