Provider Demographics
NPI:1518142009
Name:REGEN, SMITH AND SMITH, LLC
Entity Type:Organization
Organization Name:REGEN, SMITH AND SMITH, LLC
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FRANCHISE OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-354-0222
Mailing Address - Street 1:3737 HIGHWAY 11 W
Mailing Address - Street 2:
Mailing Address - City:BLOUNTVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37617-3407
Mailing Address - Country:US
Mailing Address - Phone:423-354-0222
Mailing Address - Fax:423-354-0225
Practice Address - Street 1:3737 HIGHWAY 11 W
Practice Address - Street 2:
Practice Address - City:BLOUNTVILLE
Practice Address - State:TN
Practice Address - Zip Code:37617-3407
Practice Address - Country:US
Practice Address - Phone:423-354-0222
Practice Address - Fax:423-354-0225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL 438-017-1726311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility