{
"Npi": {
"NPI": "1235560616",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "RIDE AID INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 7133",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BLOOMFIELD HILLS",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48302-7133",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "248-858-7433",
"MailingAddressFaxNumber": "248-858-4300",
"FirstLinePracticeLocationAddress": "2550 S TELEGRAPH RD",
"SecondLinePracticeLocationAddress": "SUITE 105",
"PracticeLocationAddressCityName": "BLOOMFIELD HILLS",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48302-0950",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "248-858-7433",
"PracticeLocationAddressFaxNumber": "248-858-4300",
"EnumerationDate": "12/10/2013",
"LastUpdateDate": "02/14/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DANOU",
"AuthorizedOfficialFirstName": "ART",
"AuthorizedOfficialMiddleName": "ALAN",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "248-755-2000",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "347C00000X",
"TaxonomyName": "Private Vehicle",
"LicenseNumber": "L10054",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "343900000X",
"TaxonomyName": "Non-emergency Medical Transport (VAN)",
"LicenseNumber": "L10054",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}