Provider Demographics
NPI:1265936892
Name:H & A SMITH ENTERPRISES LLC
Entity type:Organization
Organization Name:H & A SMITH ENTERPRISES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:800-674-3806
Mailing Address - Street 1:3049 GREENRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:PA
Mailing Address - Zip Code:15147-2225
Mailing Address - Country:US
Mailing Address - Phone:800-367-4380
Mailing Address - Fax:412-291-1214
Practice Address - Street 1:3049 GREENRIDGE DR
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:PA
Practice Address - Zip Code:15147
Practice Address - Country:US
Practice Address - Phone:800-674-3806
Practice Address - Fax:412-291-1214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-20
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA36733601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA36733601OtherHOME CARE AGENCY LICENSE NUMBER