{"npi":"1306809884","type":"NPI-2","status":"active","name":{"display":"Corn Heritage Village Of Weatherford INC","other":[],"organization_name":"CORN HERITAGE VILLAGE OF WEATHERFORD INC","authorised_official":"Martin Hall"},"specialty":{"primary_taxonomy":"313M00000X","primary_taxonomy_description":"Nursing Facility/Intermediate Care Facility","slug":"nursing-facility-intermediate-care-facility","schema_org_specialty":null,"all":[{"code":"313M00000X","description":"Nursing Facility/Intermediate Care Facility","primary":true,"state":"OK","license":"NH2002"}]},"addresses":[{"purpose":"LOCATION","street_1":"801 N WASHINGTON ST","city":"WEATHERFORD","state":"OK","postal_code":"730964032","country_code":"US","phone":"5807723993","fax":"5807741032"},{"purpose":"MAILING","street_1":"801 N WASHINGTON ST","city":"WEATHERFORD","state":"OK","postal_code":"730964032","country_code":"US","phone":"5807723993","fax":"5807741032"}],"license":{"state":"OK","number":"NH2002"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"200076200A","state":"OK","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20090715000798","type_code":"00-18","type_desc":"PART A PROVIDER - SKILLED NURSING FACILITY","state":"OK","pac_id":"9032261425"}]},"enumeration_date":"2006-04-07","last_updated":"2009-06-01","_meta":{"source":"NPPES","snapshot_date":"2009-06-01","doc_url":"https://findmynpi.com/api"}}