{
  "npi": "1982955357",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "MATT",
    "authorized_official_last_name": "GOTTER",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "7733384400",
    "authorized_official_title_or_position": "VP of Revenue Cycle Management",
    "certification_date": "2021-08-04",
    "enumeration_date": "2012-09-26",
    "last_updated": "2021-08-04",
    "organization_name": "BARNESVILLE HEALTHCARE AND REHAB CENTER, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "400 CARRIE AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BARNESVILLE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "437131317",
      "state": "OH",
      "telephone_number": "740-425-3648"
    },
    {
      "address_1": "2711 W HOWARD ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CHICAGO",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "606451303",
      "state": "IL"
    }
  ],
  "taxonomies": [
    {
      "code": "313M00000X",
      "desc": "Nursing Facility/Intermediate Care 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 & Credentialed Nursing and Custodial Care Facilities — Nursing Facility",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "A3[10]",
        "medicare_type": "Other Nursing Facility"
      }
    ]
  }
}