{
"Npi": {
"NPI": "1295963056",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GO EZ TRANSPORTATION LLC",
"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": "416 LOUISIANA DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RAEFORD",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28376-6023",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "877-387-6156",
"MailingAddressFaxNumber": "877-456-6002",
"FirstLinePracticeLocationAddress": "416 LOUISIANA DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RAEFORD",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28376-6023",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "877-387-6156",
"PracticeLocationAddressFaxNumber": "877-456-6002",
"EnumerationDate": "06/30/2009",
"LastUpdateDate": "06/30/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FULLER",
"AuthorizedOfficialFirstName": "CASSANDRA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT AND CEO",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "910-904-2552",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "343900000X",
"TaxonomyName": "Non-emergency Medical Transport (VAN)",
"LicenseNumber": "MC 677443",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}