Provider Demographics
NPI:1033708110
Name:SMART QUEST HEALTHCARE, LLC
Entity Type:Organization
Organization Name:SMART QUEST HEALTHCARE, LLC
Other - Org Name:SMART QUEST HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KENYATTA
Authorized Official - Middle Name:
Authorized Official - Last Name:VANCE-ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:216-273-7450
Mailing Address - Street 1:5357 BROADVIEW RD
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-1607
Mailing Address - Country:US
Mailing Address - Phone:216-273-7450
Mailing Address - Fax:216-239-0683
Practice Address - Street 1:5357 BROADVIEW RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-1607
Practice Address - Country:US
Practice Address - Phone:216-273-7450
Practice Address - Fax:216-239-0683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-13
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty