1115 SMITH OPCO LLC
NPI 1487276184
Assisted Living Facility in Thomasville, GA

Active since May 15, 2020
135 MARKET ST, THOMASVILLE, GA 31792(229) 222-9155 Get Directions Write a Review

NPPES record last updated: May 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 1115 Smith Opco Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

1115 SMITH OPCO LLC (NPI 1487276184), doing business as The Residence At Oak Grove, is a healthcare organization registered as an assisted living facility in Thomasville, Georgia and active in the NPI registry since May 2020. The organization lists Ryan Person, Director Of Business Development, as its authorized official.

NPPES Registry Identity

NPI1487276184
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business Name1115 SMITH OPCO LLC
Location Address135 MARKET STThomasville, GA 31792-5782
Mailing Address3630 Illinois RdFort Wayne, IN 46804-2062
Organization SubpartNo
Authorized OfficialRyan PersonDirector Of Business Development · (260) 413-4159
Enumeration DateMay 15, 2020
NPPES CertifiedMay 15, 2020
NPI 1487276184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
135 MARKET ST, Thomasville, GA 31792

Other Names 1

Doing Business AsThe Residence At Oak Grove

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
135 MARKET ST
THOMASVILLE, GA 31792
Physical Therapist
135 MARKET ST
THOMASVILLE, GA 31792

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 1115 Smith Opco LLC's NPI number?

The NPI number for 1115 Smith Opco LLC is 1487276184. It was assigned to this organization in the NPPES registry on May 15, 2020. The provider is doing business as The Residence at Oak Grove.

Where is 1115 Smith Opco LLC located?

1115 Smith Opco LLC is located at 135 Market St, Thomasville, GA 31792. The listed phone number is (229) 222-9155.

What is 1115 Smith Opco LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for 1115 Smith Opco LLC was last updated on May 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.