Provider Demographics
NPI:1477199362
Name:SMART EARLY LEARNING CHILDCARE, CORP.
Entity Type:Organization
Organization Name:SMART EARLY LEARNING CHILDCARE, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TEACHER
Authorized Official - Prefix:
Authorized Official - First Name:SHATEVA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:516-589-5794
Mailing Address - Street 1:14609 LAKEWOOD AVE APT 2FLOOR
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-5401
Mailing Address - Country:US
Mailing Address - Phone:718-807-4922
Mailing Address - Fax:
Practice Address - Street 1:14609 LAKEWOOD AVE APT 2FLOOR
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-5401
Practice Address - Country:US
Practice Address - Phone:718-807-4922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-26
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency