{"npi":"1548719610","type":"NPI-2","status":"active","name":{"display":"The Waterford LLC","other":[],"organization_name":"THE WATERFORD LLC","authorised_official":"Marcella Graf"},"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":"7445 N SHERIDAN RD","city":"CHICAGO","state":"IL","postal_code":"606261818","country_code":"US","phone":"2244702044"},{"purpose":"MAILING","street_1":"3755 CHASE AVE","city":"SKOKIE","state":"IL","postal_code":"600764008","country_code":"US","phone":"2244702044","fax":"2244702952"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"363853042002","state":"IL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20161118002362","type_code":"00-18","type_desc":"PART A PROVIDER - SKILLED NURSING FACILITY","state":"IL","pac_id":"8224317946"}]},"enumeration_date":"2016-09-29","last_updated":"2025-11-04","_meta":{"source":"NPPES","snapshot_date":"2025-11-04","doc_url":"https://findmynpi.com/api"}}