Smalifellc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SMALIFELLC

Practice address

225 E Edgewood Dr Apt 72
Lakeland, FL 33803-6520

Phone

(863) 604-1407

NPI assigned

Apr 7, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Andrea Yvonne Gordon

Title

Owner

Phone

(863) 604-1407

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1306232236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E EDGEWOOD DR APT 72",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338036520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E EDGEWOOD DR APT 72",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338036520",
            "telephone_number": "863-604-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALIFELLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-604-1407",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.