{"npi":"1508169657","type":"NPI-2","status":"active","name":{"display":"Home At Last Of Brevard, Inc.","other":[],"organization_name":"HOME AT LAST OF BREVARD,INC.","authorised_official":"Alvin Payne"},"specialty":{"primary_taxonomy":"320900000X","primary_taxonomy_description":"Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility","slug":"intellectual-and-or-developmental-disabilities-community-based-residential-treatment-facility","schema_org_specialty":null,"all":[{"code":"251S00000X","description":"Community/Behavioral Health Agency","primary":false,"state":"FL","license":null},{"code":"320900000X","description":"Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility","primary":true,"state":"FL","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2333 JUPITER BLVD SW","city":"PALM BAY","state":"FL","postal_code":"329083416","country_code":"US","phone":"3215084639"},{"purpose":"MAILING","street_1":"2333 JUPITER BLVD SW","city":"PALM BAY","state":"FL","postal_code":"329083416","country_code":"US"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"674701996","state":"FL","issuer":"MEDICAID WAIVER"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2010-12-13","last_updated":"2010-12-13","_meta":{"source":"NPPES","snapshot_date":"2010-12-13","doc_url":"https://findmynpi.com/api"}}