{"npi":"1306884994","type":"NPI-2","status":"active","name":{"display":"The Waters Of Huntingburg, LLC","other":[],"organization_name":"THE WATERS OF HUNTINGBURG, LLC","authorised_official":"Michael Blisko"},"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":"IN","license":"05-000122-1"}]},"addresses":[{"purpose":"LOCATION","street_1":"1712 N LELAND DR","city":"HUNTINGBURG","state":"IN","postal_code":"475429348","country_code":"US","phone":"8126834090","fax":"8126832305"},{"purpose":"MAILING","street_1":"1712 N LELAND DR","city":"HUNTINGBURG","state":"IN","postal_code":"475429348","country_code":"US","phone":"8126834090","fax":"8126832305"}],"license":{"state":"IN","number":"05-000122-1"},"identifiers":[{"type_code":"01","label":"Other","value":"000000391203","state":"IN","issuer":"ANTHEM ST"},{"type_code":"01","label":"Other","value":"000000391202","state":"IN","issuer":"ANTHEM PT"},{"type_code":"05","label":"Medicaid","value":"100290560C","state":"IN","issuer":null},{"type_code":"01","label":"Other","value":"000000391200","state":"IN","issuer":"ANTHEM OT"},{"type_code":"01","label":"Other","value":"000000381425","state":"IN","issuer":"ANTHEM BCBS"},{"type_code":"01","label":"Other","value":"5586190001","state":"IN","issuer":"DMERC REGION B SUPPLIER#"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-06-03","last_updated":"2012-05-17","_meta":{"source":"NPPES","snapshot_date":"2012-05-17","doc_url":"https://findmynpi.com/api"}}