Provider Demographics
NPI:1033855341
Name:KALENA SMITH
Entity Type:Organization
Organization Name:KALENA SMITH
Other - Org Name:TONIE'S CARING HEARTS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:MS
Authorized Official - First Name:KALENA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:470-510-6452
Mailing Address - Street 1:12219 HIGHWAY 503
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:MS
Mailing Address - Zip Code:39327-8915
Mailing Address - Country:US
Mailing Address - Phone:470-510-6452
Mailing Address - Fax:
Practice Address - Street 1:12219 HIGHWAY 503
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:MS
Practice Address - Zip Code:39327-8915
Practice Address - Country:US
Practice Address - Phone:470-510-6452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-10
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1033855341OtherNPI