{"npi":"1740430263","type":"NPI-2","status":"active","name":{"display":"Commonwealth Healthcare, LLC","other":[],"organization_name":"COMMONWEALTH HEALTHCARE, LLC","authorised_official":"Jesse Moore"},"specialty":{"primary_taxonomy":"251G00000X","primary_taxonomy_description":"Community Based Hospice Care Agency","slug":"community-based-hospice-care-agency","schema_org_specialty":null,"all":[{"code":"251G00000X","description":"Community Based Hospice Care Agency","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"500 FAULCONER DR STE 100","city":"CHARLOTTESVILLE","state":"VA","postal_code":"229034972","country_code":"US","phone":"4349707776","fax":"4349707773"},{"purpose":"MAILING","street_1":"500 FAULCONER DR STE 200","city":"CHARLOTTESVILLE","state":"VA","postal_code":"229035089","country_code":"US","phone":"4349779711","fax":"4342354142"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1740430263","state":"VA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20081006000704","type_code":"00-08","type_desc":"PART A PROVIDER - HOSPICE","state":"VA","pac_id":"9537237391"}]},"enumeration_date":"2008-09-19","last_updated":"2025-05-12","_meta":{"source":"NPPES","snapshot_date":"2025-05-12","doc_url":"https://findmynpi.com/api"}}