Provider Demographics
NPI:1114009073
Name:C.Y. SMITH & ASSOCIATES, INC
Entity Type:Organization
Organization Name:C.Y. SMITH & ASSOCIATES, INC
Other - Org Name:LUCAS HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MA, PHD
Authorized Official - Phone:414-354-3620
Mailing Address - Street 1:4465 N OAKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SHOREWOOD
Mailing Address - State:WI
Mailing Address - Zip Code:53211-1662
Mailing Address - Country:US
Mailing Address - Phone:414-354-3620
Mailing Address - Fax:414-354-4972
Practice Address - Street 1:1311 W 96TH ST
Practice Address - Street 2:SUITE 121
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1191
Practice Address - Country:US
Practice Address - Phone:317-918-5886
Practice Address - Fax:414-354-4972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health