{"npi":"1992376651","type":"NPI-2","status":"active","name":{"display":"Stellar Support Service","other":[],"organization_name":"STELLAR SUPPORT SERVICE","authorised_official":"Vickie D'avanzo"},"specialty":{"primary_taxonomy":"251C00000X","primary_taxonomy_description":"Developmentally Disabled Services Day Training Agency","slug":"developmentally-disabled-services-day-training-agency","schema_org_specialty":null,"all":[{"code":"251C00000X","description":"Developmentally Disabled Services Day Training Agency","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"15009 NORTH PRESTON HIGHWAY","city":"BRUCETON MILLS","state":"WV","postal_code":"26525","country_code":"US","street_2":"SUITE A","phone":"6812709223"},{"purpose":"MAILING","street_1":"620 W 5TH AVE","city":"MCKEESPORT","state":"PA","postal_code":"151323503","country_code":"US","phone":"4129966263"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"103235783","state":"PA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2021-07-05","last_updated":"2022-07-12","_meta":{"source":"NPPES","snapshot_date":"2022-07-12","doc_url":"https://findmynpi.com/api"}}