{"npi":"1447259254","type":"NPI-2","status":"active","name":{"display":"Progressive Health Care Providers/Fern Park, LLC","other":[],"organization_name":"PROGRESSIVE HEALTH CARE PROVIDERS/FERN PARK, LLC","authorised_official":"Terry Revell"},"specialty":{"primary_taxonomy":"320600000X","primary_taxonomy_description":"Intellectual and/or Developmental Disabilities Residential Treatment Facility","slug":"intellectual-and-or-developmental-disabilities-residential-treatment-facility","schema_org_specialty":null,"all":[{"code":"320600000X","description":"Intellectual and/or Developmental Disabilities Residential Treatment Facility","primary":true,"state":"FL","license":"4022095"}]},"addresses":[{"purpose":"LOCATION","street_1":"230 FERN PARK BLVD","city":"FERN PARK","state":"FL","postal_code":"327302500","country_code":"US","phone":"4073317231","fax":"4073319251"},{"purpose":"MAILING","street_1":"230 FERN PARK BLVD","city":"FERN PARK","state":"FL","postal_code":"327302500","country_code":"US","phone":"4073317231","fax":"4073319251"}],"license":{"state":"FL","number":"4022095"},"identifiers":[{"type_code":"01","label":"Other","value":"4022095","state":"FL","issuer":"ICF/DD LICENSE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-07-14","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}