{"npi":"1912110925","type":"NPI-2","status":"active","name":{"display":"Friends Of Good Shepherd Manor","other":[],"organization_name":"FRIENDS OF GOOD SHEPHERD MANOR","authorised_official":"Jackie Bowling"},"specialty":{"primary_taxonomy":"320900000X","primary_taxonomy_description":"Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility","slug":"intellectual-and-or-developmental-disabilities-community-based-residential-treatment-facility","schema_org_specialty":null,"all":[{"code":"315P00000X","description":"Intellectual Disabilities Intermediate Care Facility","primary":false,"state":"OH","license":"6610055"},{"code":"315P00000X","description":"Intellectual Disabilities Intermediate Care Facility","primary":false,"state":"OH","license":"6610153"},{"code":"315P00000X","description":"Intellectual Disabilities Intermediate Care Facility","primary":false,"state":"OH","license":"6610306"},{"code":"320900000X","description":"Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility","primary":true,"state":"OH","license":"6600173"}]},"addresses":[{"purpose":"LOCATION","street_1":"374 GOOD MANOR RD.","city":"LUCASVILLE","state":"OH","postal_code":"456481029","country_code":"US","phone":"7402892861","fax":"7402893916"},{"purpose":"MAILING","street_1":"PO BOX 1029","city":"LUCASVILLE","state":"OH","postal_code":"456481029","country_code":"US","phone":"7402892861","fax":"7402893916"}],"license":{"state":"OH","number":"6600173"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0830364","state":"OH","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-05-07","last_updated":"2009-02-11","_meta":{"source":"NPPES","snapshot_date":"2009-02-11","doc_url":"https://findmynpi.com/api"}}