Organization Active NPI

1Godlife Productions LLC

  • Developmentally Disabled Services Day Training Agency
  • Winter Haven, FL
National Provider Identifier
1235089517
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
1GODLIFE PRODUCTIONS LLC
Practice address
111 Black Skimmer LN
Winter Haven, FL 33880-2304
Phone
(863) 370-0766
NPI assigned
Jan 28, 2026
Last updated
Jan 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Brian A Niblack
Title
Manager
Phone
(863) 370-0766

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Home Health Agency 251E00000X
Respite Care 385H00000X

Addresses

Primary practice location

111 Black Skimmer LN
Winter Haven, FL 33880-2304

Mailing address

111 Black Skimmer LN
Winter Haven, FL 33880-2304
Phone (863) 370-0766

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1235089517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BLACK SKIMMER LN",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338802304",
            "telephone_number": "863-370-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BLACK SKIMMER LN",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338802304",
            "telephone_number": "863-370-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1GODLIFE PRODUCTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "NIBLACK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "863-370-0766"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.