{"npi":"1487301982","type":"NPI-2","status":"active","name":{"display":"4294 3rd Avenue Operations, LLC","other":[],"organization_name":"4294 3RD AVENUE OPERATIONS, LLC","authorised_official":"Tim Lehner"},"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":"4294 3RD AVE","city":"MARIANNA","state":"FL","postal_code":"324462137","country_code":"US","phone":"8505263191","fax":"8505264481"},{"purpose":"MAILING","street_1":"4294 3RD AVE","city":"MARIANNA","state":"FL","postal_code":"324462137","country_code":"US","phone":"8505263191","fax":"8505264481"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"000538300","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20220415000042","type_code":"00-18","type_desc":"PART A PROVIDER - SKILLED NURSING FACILITY","state":"FL","pac_id":"2668868894"}]},"enumeration_date":"2022-03-04","last_updated":"2024-09-13","_meta":{"source":"NPPES","snapshot_date":"2024-09-13","doc_url":"https://findmynpi.com/api"}}