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General NPI Number Information
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NPI Number | 1831038587
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Entity Type | Organization
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Legal Business Name | THE JOHNSON HOUSE INC
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Dates
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Enumeration Date | 03/27/2026
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 1225 ALPINE LAKE DR
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City | BRANDON
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State | FL
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Zip | 33511-1898
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Country | US
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Telephone | 813-404-3044
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Fax | 813-655-5523
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Provider Business Mailing Address
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Address Line | 1225 ALPINE LAKE DR
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City | BRANDON
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State | FL
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Zip | 33511-1898
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Country | US
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Telephone | 813-404-3044
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Fax | 813-655-5523
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Authorized Official
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Title or Position | CEO
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Name | MR. JEFFERY JOHNSON
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Credential |
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Telephone | 813-404-3044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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