{"npi":"1376537431","type":"NPI-2","status":"active","name":{"display":"Countryside Convalescent Home Limited Partnership","other":[],"organization_name":"COUNTRYSIDE CONVALESCENT HOME LIMITED PARTNERSHIP","authorised_official":"Steven Tack"},"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":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"8221 LAMOR RD","city":"MERCER","state":"PA","postal_code":"161373163","country_code":"US","phone":"7244310770","fax":"7244310764"},{"purpose":"MAILING","street_1":"8221 LAMOR RD","city":"MERCER","state":"PA","postal_code":"161373163","country_code":"US","phone":"7244310770","fax":"7244310764"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"1121","state":null,"issuer":"HIGHMARK BC"},{"type_code":"01","label":"Other","value":"1501006","state":"PA","issuer":"GATEWAY HP"},{"type_code":"05","label":"Medicaid","value":"0012990090001","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"263249","state":"PA","issuer":"HEALTH AMERICA"},{"type_code":"01","label":"Other","value":"305354","state":null,"issuer":"UPMC"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-09-06","last_updated":"2014-08-14","_meta":{"source":"NPPES","snapshot_date":"2014-08-14","doc_url":"https://findmynpi.com/api"}}