{
"Npi": {
"NPI": "1275812422",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FONDAY SENIORCARE SERVICES",
"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": "2906 WILLIAM PENN HWY",
"SecondLineMailingAddress": "SUITE 211B",
"MailingAddressCityName": "EASTON",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "18045-5256",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "610-252-7471",
"MailingAddressFaxNumber": "610-438-2649",
"FirstLinePracticeLocationAddress": "2906 WILLIAM PENN HWY",
"SecondLinePracticeLocationAddress": "SUITE 211B",
"PracticeLocationAddressCityName": "EASTON",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "18045-5256",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "610-252-7471",
"PracticeLocationAddressFaxNumber": "610-438-2649",
"EnumerationDate": "08/05/2011",
"LastUpdateDate": "08/05/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ADEDOYIN",
"AuthorizedOfficialFirstName": "MFON",
"AuthorizedOfficialMiddleName": "NENE",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "610-252-7471",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": "20933601",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}