{"npi":"1669776092","type":"NPI-2","status":"active","name":{"display":"Covenant Of Love Uul Corporation","other":[],"organization_name":"COVENANT OF LOVE UUL CORPORATION","authorised_official":"Charlene Bynum"},"specialty":{"primary_taxonomy":"251S00000X","primary_taxonomy_description":"Community/Behavioral Health Agency","slug":"community-behavioral-health-agency","schema_org_specialty":null,"all":[{"code":"302F00000X","description":"Exclusive Provider Organization","primary":false,"state":"NV","license":"5061AGC-1"},{"code":"251S00000X","description":"Community/Behavioral Health Agency","primary":true,"state":"NV","license":"5464TLF-1"}]},"addresses":[{"purpose":"LOCATION","street_1":"408 ELDORADO HILLS CT","city":"LAS VEGAS","state":"NV","postal_code":"891105646","country_code":"US","phone":"7028104830","fax":"7022557766"},{"purpose":"MAILING","street_1":"408 ELDORADO HILLS CT","city":"LAS VEGAS","state":"NV","postal_code":"891105646","country_code":"US","phone":"7028104830","fax":"7022557766"}],"license":{"state":"NV","number":"5464TLF-1"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"251S00000X","state":"NV","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2010-12-28","last_updated":"2010-12-28","_meta":{"source":"NPPES","snapshot_date":"2010-12-28","doc_url":"https://findmynpi.com/api"}}