Provider Demographics
NPI:1306602271
Name:SMITH'S FAMILY CARE HOME
Entity type:Organization
Organization Name:SMITH'S FAMILY CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CROMWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-210-8273
Mailing Address - Street 1:826 NESTLEWAY DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-8236
Mailing Address - Country:US
Mailing Address - Phone:336-210-8273
Mailing Address - Fax:
Practice Address - Street 1:1504 NEELLEY RD
Practice Address - Street 2:
Practice Address - City:PLEASANT GARDEN
Practice Address - State:NC
Practice Address - Zip Code:27313-9230
Practice Address - Country:US
Practice Address - Phone:336-210-8273
Practice Address - Fax:336-855-5913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home