Provider Demographics
NPI:1568570737
Name:VELITA SMITH HOME HEALTH, INC
Entity Type:Organization
Organization Name:VELITA SMITH HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-658-2768
Mailing Address - Street 1:1500 N GREENVILLE AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-2266
Mailing Address - Country:US
Mailing Address - Phone:214-678-9500
Mailing Address - Fax:512-564-1969
Practice Address - Street 1:500 CHESTNUT ST STE 1645
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-1487
Practice Address - Country:US
Practice Address - Phone:844-607-5832
Practice Address - Fax:866-575-4056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011951251E00000X
TX010574251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
677712Medicare Oscar/Certification
TX024492301Medicaid