{"npi":"1295351682","type":"NPI-2","status":"active","name":{"display":"Autumn Court Operating Company, LLC","other":[],"organization_name":"AUTUMN COURT OPERATING COMPANY, LLC","authorised_official":"Jeffrey Degyansky"},"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":"1925 E 4TH ST","city":"OTTAWA","state":"OH","postal_code":"458751540","country_code":"US","phone":"4195234370"},{"purpose":"MAILING","street_1":"5915 LANDERBROOK DR STE 350","city":"MAYFIELD HEIGHTS","state":"OH","postal_code":"441244063","country_code":"US","phone":"3306207828","fax":"2164282055"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"1543N","state":"OH","issuer":"LICENSURE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20200902001129","type_code":"00-18","type_desc":"PART A PROVIDER - SKILLED NURSING FACILITY","state":"OH","pac_id":"1153748306"}]},"enumeration_date":"2020-06-22","last_updated":"2024-12-17","_meta":{"source":"NPPES","snapshot_date":"2024-12-17","doc_url":"https://findmynpi.com/api"}}