Smith's Landing

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL093026 Issued in NC

Legal business name

SMITH'S LANDING

Practice address

1508 Theo Robertson Rd.
Macon, NC 27551

Phone

(252) 456-2481

NPI assigned

Aug 14, 2007

Last updated

Aug 21, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Vivian Smith

Title

Ceo/Owner

Phone

(252) 456-2481

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1215129119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 476",
            "city": "NORLINA",
            "state": "NC",
            "postal_code": "275630476",
            "telephone_number": "252-456-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 THEO ROBERTSON RD.",
            "city": "MACON",
            "state": "NC",
            "postal_code": "27551",
            "telephone_number": "252-456-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH'S LANDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "252-456-2481",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL093026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgette Boyd, MBA
• Boyd's Rest Home
• Guardian Angel Healthcare (Willow Road Facility)
• Jessie's Place
• Paula Rasheida Marin
• Unconditional Care Senior Services
• Willow Road Facility

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Macon, NC
• Providers in Macon, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.