Marquita Monique Smith

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

401769380715 Issued in OH

Practice address

16205 Raymond St
Maple Heights, OH 44137-2820

Phone

(216) 534-5360

NPI assigned

Apr 6, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1245694272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16205 RAYMOND ST",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372820",
            "telephone_number": "216-534-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16205 RAYMOND ST",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372820",
            "telephone_number": "216-534-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARQUITA",
        "middle_name": "MONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OH",
            "license": "401769380715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelia Denette Smith, STNA
• Christierra Smith, LPN
• Diandra Chevawn Smith, STNA
• Heaven Smith
• Jacquelyn Smith
• Michelle E Smith
• Norquetta Smith
• Rajeen Smith
• Sherita Renee Smith
• Tawanna L Smith

• Adult Care Home Facility in Maple Heights, OH
• Providers in Maple Heights, OH by specialty
• Adult Care Home Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.