Provider Demographics
NPI:1376960674
Name:SMART CARE INC
Entity Type:Organization
Organization Name:SMART CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:S
Authorized Official - Last Name:BLUMBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-751-9835
Mailing Address - Street 1:158 MAIN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ANSONIA
Mailing Address - State:CT
Mailing Address - Zip Code:06401-1836
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:158 MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:ANSONIA
Practice Address - State:CT
Practice Address - Zip Code:06401-1836
Practice Address - Country:US
Practice Address - Phone:203-751-9835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care