{"npi":"1720025489","type":"NPI-2","status":"active","name":{"display":"Goodwill Mennonite Home, Inc.","other":[],"organization_name":"GOODWILL MENNONITE HOME, INC.","authorised_official":"Kevin Miller"},"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":"MD","license":"11-003"}]},"addresses":[{"purpose":"LOCATION","street_1":"891 DORSEY HOTEL RD","city":"GRANTSVILLE","state":"MD","postal_code":"215361369","country_code":"US","phone":"3018955194","fax":"3018953704"},{"purpose":"MAILING","street_1":"891 DORSEY HOTEL RD","city":"GRANTSVILLE","state":"MD","postal_code":"215361369","country_code":"US"}],"license":{"state":"MD","number":"11-003"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040419000220","type_code":"00-18","type_desc":"PART A PROVIDER - SKILLED NURSING FACILITY","state":"MD","pac_id":"1759376866"},{"enrlmt_id":"O20181121000488","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MD","pac_id":"1759376866"}]},"enumeration_date":"2006-06-01","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}