Provider Demographics
NPI:1720526510
Name:SMARTY LLC
Entity Type:Organization
Organization Name:SMARTY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SYLVESTER
Authorized Official - Middle Name:
Authorized Official - Last Name:SMARTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-838-5536
Mailing Address - Street 1:3505 E ROYALTON RD
Mailing Address - Street 2:SUITE 174
Mailing Address - City:BROADVIEW HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44147-2994
Mailing Address - Country:US
Mailing Address - Phone:440-838-5536
Mailing Address - Fax:440-838-5537
Practice Address - Street 1:3505 E ROYALTON RD
Practice Address - Street 2:SUITE 174
Practice Address - City:BROADVIEW HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44147-2994
Practice Address - Country:US
Practice Address - Phone:440-838-5536
Practice Address - Fax:440-838-5537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-01
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)