JIMMIE L SMITH (NPI# 1336314038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336314038 |
| Entity Type | Organization |
| Organization Name | JIMMIE L SMITH |
| Other Organization Name | J & D PERSONAL CARE HOME |
| Practice Address |
18350 E Highway 105 Ste A Cleveland TX 77328-2440 |
| Mailing Address |
17188 Oak Grove Ln New Caney TX 77357-3391 |
| Practice Telephone | 2814321810 |
| Practice Fax Number | 2814321820 |
| Mailing Telephone | 2814291838 |
| Mailing Fax Number | 2814321820 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |
| Authorized Official Name | MRS. JUDY L SMITH (BOOKKEEPER) |
| Authorized Official Telephone | 2814321810 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 000456 | TX | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| J & D Personal Care Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023264678 | Jimmie L Smith | Assisted Living Facility | 17188 Oak Grove Ln, New Caney, TX 77357-3391 | 2008-08-14 |
| Street Address |
18350 E HIGHWAY 105 STE A |
| City | CLEVELAND |
| State | TX |
| Zip Code | 77328-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073829479 | Tricare Hospice, LLC | Hospice Care, Community Based | 25673 Highway 105 W, Cleveland, TX 77328-2973 | 2010-08-23 |
| 1588122873 | Abelina Campos | Licensed Vocational Nurse | 420 County Road 3991, Cleveland, TX 77328-3254 | 2019-03-06 |
| 1740685726 | Meridith Silcox | Behavioral Analyst | 213 County Road 3890, Cleveland, TX 77328-3303 | 2014-11-03 |
| 1841776788 | Michaela Dee Moreau | Registered Nurse | 10977 Alder, Cleveland, TX 77328-4937 | 2018-07-13 |
| 1144433269 | Sommerville Young Adult Community LLC | Community Based Residential Treatment Facility, Mental Illness | 650 Anthony Rd, Cleveland, TX 77328-5497 | 2007-05-07 |
| 1982092771 | Julya Jahos | Emergency Medical Technician, Basic | 20451 Old Highway 105, Cleveland, TX 77328-6421 | 2014-12-31 |
| 1316592421 | Kimberly Ann Stripling | Registered Nurse | 25960 Hickory Knoll Ct, Cleveland, TX 77328-6981 | 2019-08-06 |
| 1851749667 | Clarissa Prieto-ayala | Optometrist | 11670 Pinemont Rd, Cleveland, TX 77328-7237 | 2016-06-02 |
| 1376152413 | Ayala Vista Eyecare Pllc | Optometrist | 11670 Pinemont Rd, Cleveland, TX 77328-7237 | 2020-07-24 |
| 1295219723 | Roxanne Babick | Registered Nurse | 808 County Road 379, Cleveland, TX 77328-7352 | 2018-09-20 |
| Find all providers in zip 77328 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568801017 | Collins Lake Autism Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 246 Encinal Road, Cleveland, NM 87715 | 2013-06-18 |
| 1740349208 | Rose-mary, The Johanna Grasselli Rehabilitation and Education Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2346 W 14th St, Cleveland, OH 44113-3613 | 2006-12-08 |
| 1285750174 | Rha Health Services Nc, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 Roseman Ln, Cleveland, NC 27013-9473 | 2007-03-22 |
| 1457477317 | Rha Health Services Nc, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 Roseman Ln, Cleveland, NC 27013-9473 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980686 | Mimshack Care Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12330 Springcrest Dr, Houston, TX 77072-3219 | 2020-10-21 |
| 1679172936 | Re-care Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 University Blvd Ste 225-374, Round Rock, TX 78665-1001 | 2020-10-19 |
| 1407454176 | Viandsa Care Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17203 Quiet Song Ct, Richmond, TX 77407-2964 | 2020-10-14 |
| 1053919050 | Building Bridges In Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2007 Liberty Cove Ct, Richmond, TX 77469-2338 | 2020-10-12 |
| 1497353635 | Helping Hearts Residential Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20319 Bridge Manor Ln, Richmond, TX 77407-6494 | 2020-10-10 |
| 1750989067 | Able Wisdom Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2203 Huntington Dr, Wylie, TX 75098-7164 | 2020-10-09 |
| 1518573609 | Jbk House of Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2624 Grand Gulf Rd, Fort Worth, TX 76123-2613 | 2020-09-23 |
| 1700492352 | St Monica Healthcare Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11311 Scottsdale Dr, Meadows Place, TX 77477-1811 | 2020-09-18 |
| 1265047534 | Compassion Structured Living Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13578 San Martin Ln, Houston, TX 77083-5135 | 2020-09-13 |
| 1497369474 | Nexphase Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1201 N Watson Rd Ste 205, Arlington, TX 76006-6120 | 2020-09-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.