{"npi":"1326128554","type":"NPI-2","status":"active","name":{"display":"Kankakee Terrace Operator LLC","other":[],"organization_name":"KANKAKEE TERRACE OPERATOR LLC","authorised_official":"Avrum Weinfeld"},"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":"IL","license":"0022897"}]},"addresses":[{"purpose":"LOCATION","street_1":"100 BELLE AIRE AVE","city":"BOURBONNAIS","state":"IL","postal_code":"609142006","country_code":"US","phone":"8159390910","fax":"8159390973"},{"purpose":"MAILING","street_1":"6865 N LINCOLN AVE","city":"LINCOLNWOOD","state":"IL","postal_code":"607124611","country_code":"US","phone":"8476745795","fax":"8476745794"}],"license":{"state":"IL","number":"0022897"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"362883311001","state":"IL","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-10-16","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}