{"npi":"1760477541","type":"NPI-2","status":"active","name":{"display":"24th Street Healthcare Associates LLC","other":[],"organization_name":"24TH STREET HEALTHCARE ASSOCIATES LLC","authorised_official":"Soon Burnam"},"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":"AZ","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2509 N 24TH ST","city":"PHOENIX","state":"AZ","postal_code":"850081805","country_code":"US","phone":"6022731347","fax":"6022736260"},{"purpose":"MAILING","street_1":"2509 N 24TH ST","city":"PHOENIX","state":"AZ","postal_code":"850081805","country_code":"US","phone":"6022731347","fax":"6022736260"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"688062","state":"AZ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100126000533","type_code":"00-18","type_desc":"PART A PROVIDER - SKILLED NURSING FACILITY","state":"AZ","pac_id":"7517874530"}]},"enumeration_date":"2005-09-16","last_updated":"2021-02-16","_meta":{"source":"NPPES","snapshot_date":"2021-02-16","doc_url":"https://findmynpi.com/api"}}