T J Smith and D Goodrich Center LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

T J SMITH AND D GOODRICH CENTER LLC

Doing business as

101 Things, Inc.

Practice address

507 Avenue J NW
Winter Haven, FL 33881-4047

Phone

(863) 224-7886

Fax

(863) 291-4884

NPI assigned

Apr 21, 2023

Last updated

Apr 21, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

T J SMITH AND D GOODRICH CENTER LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Charlena S Lattimore

Title

Administrator

Phone

(863) 224-7886

Specialties & licenses 1

Addresses

Other names 1

• 101 Things, Inc. Doing business as

Part of

T J Smith and D Goodrich Center LLC

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1740977594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 AVENUE J NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814047",
            "telephone_number": "863-224-7886",
            "fax_number": "863-291-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 AVENUE J NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814047",
            "telephone_number": "863-224-7886",
            "fax_number": "863-291-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T J SMITH AND D GOODRICH CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "T J SMITH AND D GOODRICH CENTER LLC",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "LATTIMORE",
        "authorized_official_first_name": "CHARLENA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "863-224-7886",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "101 Things, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.