{
  "npi": "1053021774",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "MICHAEL",
    "authorized_official_last_name": "BERG",
    "authorized_official_middle_name": "T",
    "authorized_official_telephone_number": "5054684742",
    "authorized_official_title_or_position": "ASST SECRETARY",
    "certification_date": "2023-01-12",
    "enumeration_date": "2022-12-05",
    "last_updated": "2023-01-12",
    "organization_name": "1526 LOMBARD STREET SNF OPERATIONS II LLC",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "GENESIS PM PA OPERATIONS LLC",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1526 LOMBARD ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "PHILADELPHIA",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "191461625",
      "state": "PA",
      "telephone_number": "610-444-6350"
    },
    {
      "address_1": "101 E STATE ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "KENNETT SQUARE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "193483109",
      "state": "PA"
    }
  ],
  "taxonomies": [
    {
      "code": "314000000X",
      "desc": "Skilled Nursing Facility",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)",
    "certifying_board": "CMS Five-Star Quality Rating System / State Department of Health",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "A1[8]",
        "medicare_type": "Skilled Nursing Facility"
      }
    ]
  }
}