{
  "npi": "1861597700",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "STEVEN",
    "authorized_official_last_name": "BLISKO",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "7082360000",
    "authorized_official_title_or_position": "C.F.O",
    "enumeration_date": "2006-09-14",
    "last_updated": "2011-03-29",
    "organization_name": "COBDEN REHABILITATION AND NURSING CENTER, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "8707 SKOKIE BLVD",
      "address_2": "SUITE 310",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SKOKIE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "708-236-0001",
      "postal_code": "600772269",
      "state": "IL",
      "telephone_number": "708-236-0000"
    },
    {
      "address_1": "430 S FRONT ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "COBDEN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "618-893-1604",
      "postal_code": "629202415",
      "state": "IL",
      "telephone_number": "618-893-4214"
    }
  ],
  "taxonomies": [
    {
      "code": "314000000X",
      "desc": "Skilled Nursing Facility",
      "license": "0041491",
      "primary": true,
      "state": "IL",
      "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"
      }
    ]
  }
}