Provider Demographics
NPI:1871380527
Name:SMITH, LAKEISHA M (HHA,STNA, MEDICAL AS)
Entity type:Individual
Prefix:
First Name:LAKEISHA
Middle Name:M
Last Name:SMITH
Suffix:
Gender:F
Credentials:HHA,STNA, MEDICAL AS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3470 E 125TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-4322
Mailing Address - Country:US
Mailing Address - Phone:216-237-7737
Mailing Address - Fax:
Practice Address - Street 1:3470 E 125TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-4322
Practice Address - Country:US
Practice Address - Phone:216-237-7737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRM677819251E00000X, 385H00000X, 172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care