Active NPI
Shasta Latisha Smith
- Home Health Registered Nurse
- Clinton TWP, MI
National Provider Identifier
1386596930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 4704405379
- Practice address
- 37469 Charter Oaks Blvd
Clinton TWP, MI 48036-2415 - Phone
- (313) 247-2707
- Fax
- (313) 247-2707
- NPI assigned
- Feb 13, 2026
- Last updated
- Feb 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 4704405379 | MI | Primary |
Addresses
Primary practice location
37469 Charter Oaks Blvd
Clinton TWP, MI 48036-2415
Mailing address
37469 Charter Oaks Blvd
Clinton TWP, MI 48036-2415
Phone (313) 247-2707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704405379 | MI | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tlchomecare LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1386596930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37469 CHARTER OAKS BLVD",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480362415",
"telephone_number": "313-247-2707",
"fax_number": "313-247-2707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37469 CHARTER OAKS BLVD",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480362415",
"telephone_number": "313-247-2707",
"fax_number": "313-247-2707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SHASTA",
"middle_name": "LATISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-13",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MI",
"license": "4704405379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.