{"npi":"1790764256","type":"NPI-2","status":"active","name":{"display":"Vanguard Of Crestwood, LLC","other":[],"organization_name":"VANGUARD OF CRESTWOOD, LLC","authorised_official":"Kirk Hebert"},"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":"NJ","license":"061402"}]},"addresses":[{"purpose":"LOCATION","street_1":"101 WHIPPANY RD","city":"WHIPPANY","state":"NJ","postal_code":"079811407","country_code":"US","phone":"9738870311","fax":"9738878355"},{"purpose":"MAILING","street_1":"6 CADILLAC DR","city":"BRENTWOOD","state":"TN","postal_code":"370275080","country_code":"US","street_2":"SUITE 310","phone":"6152507100","fax":"6152507102"}],"license":{"state":"NJ","number":"061402"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"8938407","state":"NJ","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-01-12","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}