Provider Demographics
NPI:1962008425
Name:CARING WITH A SMILE HOME CARE, LLC
Entity Type:Organization
Organization Name:CARING WITH A SMILE HOME CARE, LLC
Other - Org Name:CARING WITH A SMILE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:LEKESHA
Authorized Official - Middle Name:RENEA
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-306-1402
Mailing Address - Street 1:PO BOX 818
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:KY
Mailing Address - Zip Code:42135-0818
Mailing Address - Country:US
Mailing Address - Phone:270-306-1402
Mailing Address - Fax:270-586-1784
Practice Address - Street 1:1004 BROOKHAVEN RD STE B
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:KY
Practice Address - Zip Code:42134-2744
Practice Address - Country:US
Practice Address - Phone:270-306-1402
Practice Address - Fax:270-586-1784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-09
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY252682OtherFAMILY CARE HOME
KY500323OtherPERSONAL SERVICE AGENCY