Smiley Private Homecare LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

SMILEY PRIVATE HOMECARE LLC

Practice address

1098 Ann Arbor Rd #249
Plymouth, MI 48170

Phone

(810) 423-2318

Fax

(248) 939-5875

NPI assigned

Apr 26, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Crystal Ruth Wilson

Title

Owner

Phone

(810) 423-2318

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1003470964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 651",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "48480",
            "telephone_number": "810-423-2318",
            "fax_number": "248-939-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 ANN ARBOR RD #249",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "48170",
            "telephone_number": "810-423-2318",
            "fax_number": "248-939-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEY PRIVATE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-423-2318"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Phlebotomy Technician in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Phlebotomy Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.