Active NPI
Jimmie L Smith
Doing business as J & D Personal Care Home
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Cleveland, TX
National Provider Identifier
1336314038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 000456
- Legal business name
- JIMMIE L SMITH
- Doing business as
- J & D Personal Care Home
- Practice address
- 18350 E Highway 105 Ste a
Cleveland, TX 77328-2440 - Phone
- (281) 432-1810
- Fax
- (281) 432-1820
- NPI assigned
- Apr 24, 2008
- Last updated
- Apr 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Judy L Smith
- Title
- Bookkeeper
- Phone
- (281) 432-1810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 000456 | TX | Primary |
Addresses
Primary practice location
18350 E Highway 105 Ste a
Cleveland, TX 77328-2440
Mailing address
17188 Oak Grove LN
New Caney, TX 77357-3391
Phone (281) 429-1838
Other names 1
- J & D Personal Care Home
National Provider Directory
National Provider DirectoryLocations
18350 Highway 105
Ste A
Cleveland, TX 77328
Phone (281) 432-1810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208995200000",
"number": "1336314038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17188 OAK GROVE LN",
"city": "NEW CANEY",
"state": "TX",
"postal_code": "773573391",
"telephone_number": "281-429-1838",
"fax_number": "281-432-1820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18350 E HIGHWAY 105 STE A",
"city": "CLEVELAND",
"state": "TX",
"postal_code": "773282440",
"telephone_number": "281-432-1810",
"fax_number": "281-432-1820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JIMMIE L SMITH",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-24",
"last_updated": "2008-04-24",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "JUDY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BOOKKEEPER",
"authorized_official_telephone_number": "281-432-1810",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "TX",
"license": "000456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "J & D Personal Care Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cleveland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.