{"npi":"1922003326","type":"NPI-2","status":"active","name":{"display":"Clark-Lindsey Village, Inc.","other":[],"organization_name":"CLARK-LINDSEY VILLAGE, INC.","authorised_official":"Debra Reardanz"},"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":"IL","license":"1674035"}]},"addresses":[{"purpose":"LOCATION","street_1":"101 W WINDSOR RD","city":"URBANA","state":"IL","postal_code":"618026663","country_code":"US","phone":"2173442144","fax":"2173449147"},{"purpose":"MAILING","street_1":"101 W WINDSOR RD","city":"URBANA","state":"IL","postal_code":"618026663","country_code":"US","phone":"2173442144","fax":"2173449147"}],"license":{"state":"IL","number":"1674035"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20111107000723","type_code":"00-18","type_desc":"PART A PROVIDER - SKILLED NURSING FACILITY","state":"IL","pac_id":"9638342660"}]},"enumeration_date":"2005-06-14","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}