Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
1115 SMITH OPCO LLC
Active
Organization
1115 SMITH OPCO LLC
Active
Other names
The Residence at Oak Grove
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN PERSON (DIRECTOR OF BUSINESS DEVELOPMENT)
(260) 413-4159
Entity
Organization
Contact information
Practice address
135 MARKET ST, THOMASVILLE, GA 31792-5782
(229) 222-9155
Mailing address
3630 ILLINOIS RD, FORT WAYNE, IN 46804-2062
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up