Smith Street Village Family Care Home, LLC
Organization Active NPI Adult Care Home Facility · Leicester, NC
NPI 1275916942 · NPPES record last updated Jul 14, 2015
Key facts
- NPI
- 1275916942
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- Legal business name
- SMITH STREET VILLAGE FAMILY CARE HOME, LLC
- Practice address
- 234 Country Time LN
Leicester, NC 28748-6213 - Phone
- (828) 676-5600
- NPI assigned
- Jun 30, 2015
- Organization subpart
- No
Authorized official
- Name
- Mr. Nicholas B Street, RN
- Title
- President/Administrator
- Phone
- (828) 676-5600
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Smith Street Village Family Care Home LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Yes |
Addresses
Primary practice location
234 Country Time LN
Leicester, NC 28748-6213
Mailing address
PO Box 889
Mountain Home, NC 28758-0889
Phone (828) 676-5600
Other providers in Leicester, NC
- Serenity Heart Family Care Home,LLC
- Serenity Heart Family Care Homes,LLC
- Serenity Heart Family Care Homes,LLC
- Arthur James Shuster
- Smith Street Village Family Care Home, LLC
- Smith Street Village Family Care Home, LLC
- Smith Street Village Family Care Home, LLC
- Smith Street Village Family Care Home, LLC
- Smith Street Village Family Care Home, LLC
- Soundview Family Care Homes
All providers in Leicester, NC · Adult Care Home Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.