Provider Demographics
NPI:1578111233
Name:SMILES HOME CARE LLC
Entity Type:Organization
Organization Name:SMILES HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KADHIM
Authorized Official - Middle Name:ABDULZAHRA
Authorized Official - Last Name:MUHSIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-882-3134
Mailing Address - Street 1:660 E 12TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16503-1344
Mailing Address - Country:US
Mailing Address - Phone:814-882-3134
Mailing Address - Fax:
Practice Address - Street 1:660 E 12TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16503-1344
Practice Address - Country:US
Practice Address - Phone:814-882-3134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-27
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health