Active NPI
Johnson Home
- Intellectual Disabilities Intermediate Care Facility
- Goldthwaite, TX
National Provider Identifier
1821133422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 111856
- Legal business name
- JOHNSON HOME
- Practice address
- 200 County Rd 112
Goldthwaite, TX 76844 - Phone
- (325) 985-3544
- NPI assigned
- Feb 21, 2007
- 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
- Herman Johnson
- Title
- Owner Administration
- Phone
- (325) 985-3544
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 111856 | TX | Primary |
Addresses
Primary practice location
200 County Rd 112
Goldthwaite, TX 76844
Mailing address
PO Box 27
CR 112 #200
Goldthwaite, TX 76844
Phone (325) 985-3544
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111856 | Other | TX | LICENSE NUMBER |
| 45H187 | Other | TX | FACILITY ID |
| 24545017170001 | Other | TX | TID |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1821133422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27",
"address_2": "CR 112 #200",
"city": "GOLDTHWAITE",
"state": "TX",
"postal_code": "76844",
"telephone_number": "325-985-3544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 COUNTY RD 112",
"city": "GOLDTHWAITE",
"state": "TX",
"postal_code": "76844",
"telephone_number": "325-985-3544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNSON HOME",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "HERMAN",
"authorized_official_title_or_position": "OWNER ADMINISTRATION",
"authorized_official_telephone_number": "325-985-3544"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "TX",
"license": "111856",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "111856",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY ID",
"identifier": "45H187",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TID",
"identifier": "24545017170001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Goldthwaite, TX
- Hamilton County Hospital District (Goldthwaite Health & Rehab Center)
- Hamilton County Hospital District (Family Practice Mills County)
- Hamilton County Hospital District (Mills County Physical Therapy)
- Hamilton County Hospital District (Avir at Hillview)
- Artie Lee Hilliard Jr., LCSW
- Nancy Kuhnkey Knight, RPH
- Mary Frances Dennis Kretzer, DO
- Joe M. Leverett, D. C.
- Kristi Leverett, LPC
- Majestic Emergency Medical Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.