{
"Npi": {
"NPI": "1558852442",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "RENAISSANCE COMFORT CARE 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": "705 RENAISSANCE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WILLIAMSTOWN",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08094-6331",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "732-241-8295",
"MailingAddressFaxNumber": "856-504-0200",
"FirstLinePracticeLocationAddress": "1600 GARRETT RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "UPPER DARBY",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19082-4472",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "973-517-5359",
"PracticeLocationAddressFaxNumber": "856-504-0200",
"EnumerationDate": "05/25/2018",
"LastUpdateDate": "05/25/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OKURIBIDO",
"AuthorizedOfficialFirstName": "MUYIWA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "732-241-8295",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}