NPIMap

Organization Active NPI

Smart Health Care, Inc

  • Home Health Agency
  • Shreveport, LA
National Provider Identifier
1407911068
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
905 Issued in LA
Legal business name
SMART HEALTH CARE, INC
Practice address
6135 Fairfield Ave
Shreveport, LA 71106-2743
Phone
(318) 865-9747
Fax
(318) 865-9711
NPI assigned
Dec 26, 2006
Last updated
Aug 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Valerie Hall
Title
Cfo
Phone
(318) 865-9747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 905 LA Primary

Addresses

Primary practice location

6135 Fairfield Ave
Shreveport, LA 71106-2743

Mailing address

6135 Fairfield Ave
Shreveport, LA 71106-2743
Phone (318) 865-9747

Other identifiers 1

IdentifierTypeStateIssuer
1406198MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100616000334 LA Part A Provider - Home Health Agency 8628136397 Practice locations: Shreveport, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407911068. Details of each certification follow.

Home health agency certification: CCN 197729

Legal name
SMART HEALTH CARE, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 1, 1995
Last certification
Mar 11, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 27, 1997 in LA
Enrollment address
6135 Fairfield Avenue
Shreveport, LA 71106-2714

Care Compare: Home health agency

Medicare Care Compare
Listed as
Smart Health Care IncCCN 197729 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Aug 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Smart Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6135 Fairfield Ave
Shreveport, LA 71106
Phone (318) 865-9747

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Connie S Reynolds Individual 5% Or Greater Direct Ownership Interest Jun 15, 1995 25%
Corporate OfficerVP Jun 15, 1995 25%
W-2 Managing Employee Jun 15, 1995
Veronica S Cochran Individual 5% Or Greater Direct Ownership Interest Jun 15, 1995 25%
Corporate OfficerPresident May 15, 1995 25%
W-2 Managing EmployeeAdministrator Jun 15, 1995 25%
Valerie S Hall Individual 5% Or Greater Direct Ownership Interest Jun 1, 2010 25%
Corporate OfficerTreasurer Jun 15, 1995 25%
W-2 Managing EmployeeChief Finanical Officer Jun 15, 1995 25%
Leatha R Robinson Individual 5% Or Greater Direct Ownership Interest Jun 15, 1995 25%
Corporate OfficerSecretary Jun 15, 1995 25%
W-2 Managing EmployeeAssistant Director of Nursing Jun 15, 1995 25%

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1407911068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 FAIRFIELD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062743",
            "telephone_number": "318-865-9747",
            "fax_number": "318-865-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 FAIRFIELD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062743",
            "telephone_number": "318-865-9747",
            "fax_number": "318-865-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "318-865-9747"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1406198",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.