{"npi":"1326038720","type":"NPI-2","status":"active","name":{"display":"Blackstone Life Care, LLC","other":[],"organization_name":"BLACKSTONE LIFE CARE, LLC","authorised_official":"Cassandra Gallant"},"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":"VA","license":"NH2570"}]},"addresses":[{"purpose":"LOCATION","street_1":"900 S MAIN ST","city":"BLACKSTONE","state":"VA","postal_code":"23824","country_code":"US","phone":"4342925301","fax":"4342926041"},{"purpose":"MAILING","street_1":"3131 ELECTRIC RD","city":"ROANOKE","state":"VA","postal_code":"240186427","country_code":"US","phone":"5407744263","fax":"5407740780"}],"license":{"state":"VA","number":"NH2570"},"identifiers":[{"type_code":"01","label":"Other","value":"180505","state":"VA","issuer":"ANTHEM BCBS PROVIDER ID"},{"type_code":"05","label":"Medicaid","value":"4953533","state":"VA","issuer":null},{"type_code":"01","label":"Other","value":"200515603","state":"VA","issuer":"FEDERAL BLACK LUNG ID"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20180809004067","type_code":"00-18","type_desc":"PART A PROVIDER - SKILLED NURSING FACILITY","state":"VA","pac_id":"5799033601"}]},"enumeration_date":"2005-10-26","last_updated":"2024-11-25","_meta":{"source":"NPPES","snapshot_date":"2024-11-25","doc_url":"https://findmynpi.com/api"}}