Jr Smith Professional Services

Primary specialty

Chore ProviderTaxonomy code 372500000X

Legal business name

JR SMITH PROFESSIONAL SERVICES

Doing business as

Shelter Island Homecare Agency

Practice address

13A East Thomas Street
Shelter Island, NY 11964

Phone

(631) 749-5113

Fax

(631) 749-5803

NPI assigned

Jun 12, 2025

Organization subpart

No

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

Authorized official

Name

Russell William Smith

Title

Ceo/President

Phone

(631) 749-5804

Specialties & licenses 2

Addresses

Other names 1

• Shelter Island Homecare Agency Doing business as

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1508751108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1848",
            "city": "SHELTER ISLAND",
            "state": "NY",
            "postal_code": "119641848",
            "telephone_number": "631-749-5113",
            "fax_number": "631-749-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13A EAST THOMAS STREET",
            "city": "SHELTER ISLAND",
            "state": "NY",
            "postal_code": "11964",
            "telephone_number": "631-749-5113",
            "fax_number": "631-749-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR SMITH PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "631-749-5804"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelter Island Homecare Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Meta Crane, L.AC.
• Peter Nicholas De Sanctis, MD
• Bernadette Ann Gildea, LCSW
• JH Community Services LLC
• JH Community Services of Il LLC (JH Community Services LLC)
• Kyle Karen
• Peter Anthony Kelt, MD
• Margaret Anne Larsen Mathews, MS. CCC- SLP
• Kathleen M Lynch, LMHC
• Daniel Thomas Moran, DDS

• Chore Provider in Shelter Island, NY
• Providers in Shelter Island, NY by specialty
• Chore Provider in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.