{"npi":"1982978169","type":"NPI-2","status":"active","name":{"display":"Randolph County Developmental Disability Services","other":[],"organization_name":"RANDOLPH COUNTY DEVELOPMENTAL DISABILITY SERVICES","authorised_official":"Mindy Breid"},"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":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"101 W COATES ST","city":"MOBERLY","state":"MO","postal_code":"652701521","country_code":"US","phone":"6602698875","fax":"6602699621"},{"purpose":"MAILING","street_1":"PO BOX 1008","city":"MOBERLY","state":"MO","postal_code":"652700975","country_code":"US","phone":"6602698875","fax":"6602699621"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"159041201","state":"MO","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2012-03-06","last_updated":"2012-09-04","_meta":{"source":"NPPES","snapshot_date":"2012-09-04","doc_url":"https://findmynpi.com/api"}}