Provider Demographics
NPI:1326636267
Name:SMITH'S HOME CARE LLC
Entity Type:Organization
Organization Name:SMITH'S HOME CARE LLC
Other - Org Name:CLARE HOMECARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TANZANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-270-2260
Mailing Address - Street 1:3940 SUNSTREAM PKWY
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-1318
Mailing Address - Country:US
Mailing Address - Phone:757-285-9953
Mailing Address - Fax:
Practice Address - Street 1:1403 CAPE ANN WAY APT 417
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23453-5690
Practice Address - Country:US
Practice Address - Phone:757-270-2260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-06
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health