Provider Demographics
NPI:1407827843
Name:SMART CARE LINK INC
Entity Type:Organization
Organization Name:SMART CARE LINK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GERALDINE
Authorized Official - Middle Name:B
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-356-1927
Mailing Address - Street 1:2500 E FOOTHILL BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3447
Mailing Address - Country:US
Mailing Address - Phone:626-356-1927
Mailing Address - Fax:626-356-8064
Practice Address - Street 1:2500 E FOOTHILL BLVD STE 101
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107
Practice Address - Country:US
Practice Address - Phone:626-356-1927
Practice Address - Fax:626-356-8064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-01
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA980002418251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08280FMedicaid
CA058280Medicare ID - Type UnspecifiedHOME HEALTH AGENCY