{
"Npi": {
"NPI": "1134090954",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "COMFY CARE HOME, 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": "22825 CYPRESS DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CARSON",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90745-4752",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-930-6455",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "22620 MADISON ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TORRANCE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90505-2531",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "424-263-4399",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/15/2025",
"LastUpdateDate": "09/15/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MACAPOBRE",
"AuthorizedOfficialFirstName": "ZENAIDA",
"AuthorizedOfficialMiddleName": "BUNAG",
"AuthorizedOfficialTitle": "CEO/CFO/SECRETARY",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "BS MED TECH",
"AuthorizedOfficialTelephoneNumber": "310-930-6455",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "310400000X",
"TaxonomyName": "Assisted Living Facility",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}