Provider Demographics
NPI:1922394329
Name:SMITH HOME CARE INC.
Entity Type:Organization
Organization Name:SMITH HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LILIBETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH-TEZAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-273-5006
Mailing Address - Street 1:5588 N PALM AVE STE 12
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93704-1913
Mailing Address - Country:US
Mailing Address - Phone:855-256-2273
Mailing Address - Fax:949-951-5007
Practice Address - Street 1:5588 N PALM AVE
Practice Address - Street 2:SUITE 12
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93704-1913
Practice Address - Country:US
Practice Address - Phone:855-256-2273
Practice Address - Fax:949-951-5007
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SMITH HOME CARE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-06-23
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care