Organization 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
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
000456 Issued in TX
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.