Tdaf,LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

TDAF,LLC

Practice address

210 County Road 112
Goldthwaite, TX 76844-3701

Phone

(325) 985-3544

Fax

(325) 985-3575

NPI assigned

Mar 18, 2010

Organization subpart

No

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

Authorized official

Name

Dave Allen Johnson, LNFA, LBSW

Title

Manager/President

Phone

(432) 413-1425

Specialties & licenses 1

Addresses

Other names 1

• JOHNSON HOMES Doing business as

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270166400000",
    "number": "1346564432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "city": "GOLDTHWAITE",
            "state": "TX",
            "postal_code": "768440027",
            "telephone_number": "325-985-3544",
            "fax_number": "325-985-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 COUNTY ROAD 112",
            "city": "GOLDTHWAITE",
            "state": "TX",
            "postal_code": "768443701",
            "telephone_number": "325-985-3544",
            "fax_number": "325-985-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDAF,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-04-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "MANAGER/PRESIDENT",
        "authorized_official_telephone_number": "432-413-1425",
        "authorized_official_credential": "LNFA, LBSW"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOHNSON HOMES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Garrett Tyler Schwartz, DPT, PT
• Kajal Singh
• Deedra Smith, LPC
• SSC Goldthwaite Operating Company LLC
• Grace Elizabeth Taylor, LMSW
• Texas Outpatient & Infusion Center
• Thomas Cody Graves DDS and Cody Clark Graves DDS
• James Merwyn Thompson, MD
• Veronica Vega
• Horace Glen Walton, M.ED., LMSW-IPR

• Intellectual Disabilities Intermediate Care Facility in Goldthwaite, TX
• Providers in Goldthwaite, TX by specialty
• Intellectual Disabilities Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; 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.