{"npi":"1922096866","type":"NPI-2","status":"active","name":{"display":"Hattiesburg Convalescent Home, Inc.","other":[],"organization_name":"HATTIESBURG CONVALESCENT HOME, INC.","authorised_official":"Jewell Mcmahan"},"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":"MS","license":"25"}]},"addresses":[{"purpose":"LOCATION","street_1":"514 BAY ST","city":"HATTIESBURG","state":"MS","postal_code":"394013933","country_code":"US","phone":"6015444230","fax":"6015822480"},{"purpose":"MAILING","street_1":"514 BAY ST","city":"HATTIESBURG","state":"MS","postal_code":"394013933","country_code":"US","phone":"6015444230","fax":"6015822480"}],"license":{"state":"MS","number":"25"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0023061","state":"MS","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-10-13","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}