Provider Demographics
NPI:1619752177
Name:SMHC LLC
Entity Type:Organization
Organization Name:SMHC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SESSI
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUESSOU-ADIN
Authorized Official - Suffix:
Authorized Official - Credentials:MHCA
Authorized Official - Phone:267-596-9939
Mailing Address - Street 1:1625 N 19TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19121-3101
Mailing Address - Country:US
Mailing Address - Phone:267-596-9939
Mailing Address - Fax:
Practice Address - Street 1:238 N 22ND ST FL 1
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-1004
Practice Address - Country:US
Practice Address - Phone:267-596-9939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty