{"npi":"1871728964","type":"NPI-2","status":"active","name":{"display":"Freeport Convalscent Center","other":[],"organization_name":"FREEPORT CONVALSCENT CENTER","authorised_official":"Wanda Pelkey"},"specialty":{"primary_taxonomy":"310500000X","primary_taxonomy_description":"Mental Illness Intermediate Care Facility","slug":"mental-illness-intermediate-care-facility","schema_org_specialty":null,"all":[{"code":"310500000X","description":"Mental Illness Intermediate Care Facility","primary":true,"state":"ME","license":"2005"}]},"addresses":[{"purpose":"LOCATION","street_1":"6 OLD COUNTY RD","city":"FREEPORT","state":"ME","postal_code":"040326231","country_code":"US","phone":"2078654782"},{"purpose":"MAILING","street_1":"6 OLD COUNTY RD","city":"FREEPORT","state":"ME","postal_code":"040326231","country_code":"US","phone":"2078654782"}],"license":{"state":"ME","number":"2005"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"115110000","state":"ME","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2009-05-19","last_updated":"2009-05-19","_meta":{"source":"NPPES","snapshot_date":"2009-05-19","doc_url":"https://findmynpi.com/api"}}