Provider Demographics
NPI:1639414485
Name:SMART MEDI CARE HEALTH SERVICES INC
Entity Type:Organization
Organization Name:SMART MEDI CARE HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:LAMON
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-596-1566
Mailing Address - Street 1:3317 FINLEY RD STE 114B
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-8722
Mailing Address - Country:US
Mailing Address - Phone:972-891-0221
Mailing Address - Fax:214-785-2842
Practice Address - Street 1:3317 FINLEY RD STE 114B
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-8722
Practice Address - Country:US
Practice Address - Phone:972-891-0221
Practice Address - Fax:214-785-2842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-05
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX015147251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based