Smyrna Enterprises, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

3209 Issued in NM

Legal business name

SMYRNA ENTERPRISES, INC

Practice address

518 Valencia St
Las Vegas, NM 87701-3716

Phone

(505) 425-3880

Fax

(505) 425-2929

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Justin O Smith, OWNER

Title

President

Phone

(505) 425-3880

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Quality Continuum Hospice & Home HealthCare Doing business as

Locations

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1295817906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 VALENCIA ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877013716",
            "telephone_number": "505-425-3880",
            "fax_number": "505-425-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 VALENCIA ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877013716",
            "telephone_number": "505-425-3880",
            "fax_number": "505-425-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMYRNA ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-425-3880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "3221",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NM",
            "license": "3209",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NM",
            "license": "3211",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3211",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3221",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3209",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Continuum Hospice & Home HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Smith, BMS
• Patricia Ann Smith, LMSW
• Serena R Smith, BMS
• Shannon Smith, D.O.M., L.AC., L.M.T
• Tomasita Jasmine Smith
• Anthony M Soares, BMS
• Renee A Soderlund, MAOTR/L
• Jason I Solano, PHARMD
• Somos Familia - Family Inst. Inc
• Southwest Physical & Sports Therapy, LTD

• Community Based Hospice Care Agency in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Community Based Hospice Care Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.