1115 SMITH OPCO LLC NPI 1487276184

NPI Information

  • NPI: 1487276184
  • Provider Name: 1115 SMITH OPCO LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 135 MARKET ST
    THOMASVILLE, GA
    ZIP 31792
  • Phone: (229) 222-9155

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NPI Details

1115 SMITH OPCO LLC is an assisted living facility in Thomasville, GA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. 1115 SMITH OPCO LLC NPI is 1487276184. The provider is registered as an organization entity type.

The provider's business location address is:

135 MARKET ST
THOMASVILLE, GA
ZIP 31792-782
Phone: (229) 222-9155

The provider's authorized official is Ryan Person .
The authorized official title is Director Of Business Development and has the following contact phone number (260) 413-4159.

The enumeration date for this NPI number is 5/15/2020 and was last updated on 5/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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