Provider Demographics
NPI:1104670215
Name:SMART CARE HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:SMART CARE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMINISTRATOT
Authorized Official - Prefix:MS
Authorized Official - First Name:HAMDI
Authorized Official - Middle Name:HASHI
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN
Authorized Official - Phone:614-966-6211
Mailing Address - Street 1:2021 E DUBLIN GRANVILLE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3568
Mailing Address - Country:US
Mailing Address - Phone:614-966-6211
Mailing Address - Fax:
Practice Address - Street 1:2021 E DUBLIN GRANVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3568
Practice Address - Country:US
Practice Address - Phone:614-966-6211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health