Provider Demographics
NPI:1356999775
Name:L&M SMITH'S CARES FOR ALL, INC
Entity type:Organization
Organization Name:L&M SMITH'S CARES FOR ALL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LENORA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAZON-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-318-9681
Mailing Address - Street 1:307A S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HAVANA
Mailing Address - State:FL
Mailing Address - Zip Code:32333-2007
Mailing Address - Country:US
Mailing Address - Phone:352-318-9681
Mailing Address - Fax:
Practice Address - Street 1:307A S MAIN ST
Practice Address - Street 2:
Practice Address - City:HAVANA
Practice Address - State:FL
Practice Address - Zip Code:32333-2007
Practice Address - Country:US
Practice Address - Phone:352-318-9681
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
No172A00000XOther Service ProvidersDriverGroup - Single Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty
No373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty
No376G00000XNursing Service Related ProvidersNursing Home AdministratorGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0401Medicaid
GA0401OtherPRIVATE