{"npi":"1295728905","type":"NPI-2","status":"active","name":{"display":"Laurel Lake Retirement Community, Inc.","other":[],"organization_name":"LAUREL LAKE RETIREMENT COMMUNITY, INC.","authorised_official":"Stephanie Covas"},"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":"OH","license":"4131"}]},"addresses":[{"purpose":"LOCATION","street_1":"200 LAUREL LAKE DR","city":"HUDSON","state":"OH","postal_code":"442362156","country_code":"US","phone":"3306551402","fax":"3306551700"},{"purpose":"MAILING","street_1":"200 LAUREL LAKE DR","city":"HUDSON","state":"OH","postal_code":"442362156","country_code":"US","phone":"3306551402","fax":"3306551700"}],"license":{"state":"OH","number":"4131"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20120322000065","type_code":"00-18","type_desc":"PART A PROVIDER - SKILLED NURSING FACILITY","state":"OH","pac_id":"1355501768"}]},"enumeration_date":"2005-08-27","last_updated":"2012-03-27","_meta":{"source":"NPPES","snapshot_date":"2012-03-27","doc_url":"https://findmynpi.com/api"}}