Provider Demographics
NPI:1275001364
Name:HOME HEALTHSMITH LLC
Entity Type:Organization
Organization Name:HOME HEALTHSMITH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:LARUE
Authorized Official - Last Name:BOHMBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-293-0415
Mailing Address - Street 1:PO BOX 719
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:RI
Mailing Address - Zip Code:02871-0719
Mailing Address - Country:US
Mailing Address - Phone:401-293-0415
Mailing Address - Fax:401-633-6390
Practice Address - Street 1:207 HIGHPOINT AVE STE 2
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:RI
Practice Address - Zip Code:02871-1387
Practice Address - Country:US
Practice Address - Phone:401-293-0415
Practice Address - Fax:401-633-6390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-06
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies