{"npi":"1962841718","type":"NPI-2","status":"active","name":{"display":"Omni Visions, Inc.","other":[],"organization_name":"OMNI VISIONS, INC.","authorised_official":"Brelyn Waddell"},"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":"320900000X","description":"Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility","primary":true,"state":"NC","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"123 STONEWOOD RD","city":"ELKIN","state":"NC","postal_code":"286217916","country_code":"US","phone":"9193340249"},{"purpose":"MAILING","street_1":"301 S PERIMETER PARK DR","city":"NASHVILLE","state":"TN","postal_code":"372114143","country_code":"US","phone":"6157263603"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"3408630","state":"NC","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2013-06-14","last_updated":"2013-06-14","_meta":{"source":"NPPES","snapshot_date":"2013-06-14","doc_url":"https://findmynpi.com/api"}}