{"npi":"1558487124","type":"NPI-2","status":"active","name":{"display":"Forum Home Health Agency Llc.","other":[],"organization_name":"FORUM HOME HEALTH AGENCY LLC.","authorised_official":"Neliie Tsimerman"},"specialty":{"primary_taxonomy":"261QA0600X","primary_taxonomy_description":"Adult Day Care Clinic/Center","slug":"adult-day-care-clinic-center","schema_org_specialty":null,"all":[{"code":"251E00000X","description":"Home Health Agency","primary":false,"state":"MO","license":"LC6820830"},{"code":"261QA0600X","description":"Adult Day Care Clinic/Center","primary":true,"state":"MO","license":"814"}]},"addresses":[{"purpose":"LOCATION","street_1":"3828 MERAMEC ST","city":"SAINT LOUIS","state":"MO","postal_code":"631164470","country_code":"US","phone":"3143692056","fax":"3143533882"},{"purpose":"MAILING","street_1":"3828 MERAMEC ST","city":"SAINT LOUIS","state":"MO","postal_code":"631164470","country_code":"US","phone":"3143692056","fax":"3143533882"}],"license":{"state":"MO","number":"814"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"265863209","state":"MO","issuer":null},{"type_code":"05","label":"Medicaid","value":"285863205","state":"MO","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-03-22","last_updated":"2009-05-08","_meta":{"source":"NPPES","snapshot_date":"2009-05-08","doc_url":"https://findmynpi.com/api"}}