Growing Pain LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

GROWING PAIN LLC

Doing business as

Growing Pain LLC

Practice address

1488 Lagoni Cir
Daytona Beach, FL 32117-1890

Phone

(386) 585-2662

Fax

(386) 200-6110

NPI assigned

Nov 13, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Shawnerie Langford

Title

Owner

Phone

(386) 585-2662

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Growing Pain LLC Doing business as

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1790387702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 LAGONI CIR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321171890",
            "telephone_number": "386-585-2662",
            "fax_number": "386-200-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 LAGONI CIR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321171890",
            "telephone_number": "386-585-2662",
            "fax_number": "386-200-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING PAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "LANGFORD",
        "authorized_official_first_name": "SHAWNERIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-585-2662",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102122700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Growing Pain LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeremy Robert Grimes, MD
• Reni A Grimes, M.D.
• Kristine Gromlovits
• Robert Marc Grossmann, O.D.
• Christopher Allen Grove, MD
• Lisa Grubbs, APRN-
• Megan Gruden, PA-C
• Guidewell Medical Group, Inc.
• Lara Guindi, MD
• Michelle Guirand, NP

• Case Management Agency in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.