{
"Npi": {
"NPI": "1093858789",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "COMMUNICARE ADULT DAY HEALTH CENTER, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "309 FRIES MILL RD",
"SecondLineMailingAddress": "ECHO PLAZA # 17",
"MailingAddressCityName": "SEWELL",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08080-9283",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "856-589-7723",
"MailingAddressFaxNumber": "856-589-9835",
"FirstLinePracticeLocationAddress": "309 FRIES MILL RD",
"SecondLinePracticeLocationAddress": "ECHO PLAZA # 17",
"PracticeLocationAddressCityName": "SEWELL",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08080-9283",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "856-589-7723",
"PracticeLocationAddressFaxNumber": "856-589-9835",
"EnumerationDate": "02/14/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DIMAIO",
"AuthorizedOfficialFirstName": "JACQUELINE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN, CSW",
"AuthorizedOfficialTelephoneNumber": "856-589-7723",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA0600X",
"TaxonomyName": "Adult Day Care Clinic/Center",
"LicenseNumber": "83014",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}