{"npi":"1689321382","type":"NPI-2","status":"active","name":{"display":"Destination Vitality Ltd","other":[],"organization_name":"DESTINATION VITALITY LTD","authorised_official":"Dana Gallik"},"specialty":{"primary_taxonomy":"261QH0100X","primary_taxonomy_description":"Health Service Clinic/Center","slug":"health-service-clinic-center","schema_org_specialty":null,"all":[{"code":"261QH0100X","description":"Health Service Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"310 SUNRISE AVE STE B","city":"HONESDALE","state":"PA","postal_code":"184311032","country_code":"US","phone":"5708019488","fax":"8776752576"},{"purpose":"MAILING","street_1":"20 MY WAY LN","city":"BEACH LAKE","state":"PA","postal_code":"184053111","country_code":"US","phone":"5706371028","fax":"8776752576"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20230301001190","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"PA","pac_id":"3375916943"}]},"enumeration_date":"2022-03-03","last_updated":"2024-10-31","_meta":{"source":"NPPES","snapshot_date":"2024-10-31","doc_url":"https://findmynpi.com/api"}}