Provider Demographics
NPI:1568620680
Name:STRATEGIC MEDICAL MANAGEMENT SERVICES INC
Entity Type:Organization
Organization Name:STRATEGIC MEDICAL MANAGEMENT SERVICES INC
Other - Org Name:ELITE HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TINISEE
Authorized Official - Middle Name:SUMAIWOE
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-552-8203
Mailing Address - Street 1:1313 E BROAD ST
Mailing Address - Street 2:SUITE 17
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-3510
Mailing Address - Country:US
Mailing Address - Phone:614-552-8203
Mailing Address - Fax:614-583-0969
Practice Address - Street 1:1313 E BROAD ST
Practice Address - Street 2:SUITE 17
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-3510
Practice Address - Country:US
Practice Address - Phone:614-552-8203
Practice Address - Fax:614-583-0969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-27
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1757146251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health