Smith Residential Care

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

SMITH RESIDENTIAL CARE

Practice address

1073 W Terrace Dr
Hanford, CA 93230-1939

Phone

(559) 583-7802

Fax

(559) 584-8674

NPI assigned

Mar 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Catherine Smith

Title

Owner

Phone

(559) 584-8451

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Smith Residential Care - Terrace Other name

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669504510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1093",
            "address_2": "318-A E. 4TH STREET",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932321093",
            "telephone_number": "559-584-8451",
            "fax_number": "559-584-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 W TERRACE DR",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932301939",
            "telephone_number": "559-583-7802",
            "fax_number": "559-584-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-584-8451",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER NUMBER",
            "identifier": "LTC60322H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith Residential Care - Terrace",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patrick Sisneros
• Peyton Mackenzie Sitterding
• Melody Lynn Skinner, CPNP
• Ethel C. Sloan, CADC-II
• Smith Adult Residential Care
• Amy Smith
• Anisha Kumar Smith, D.O.
• David A. Smith, M.D.
• Georgia Nicole Smith
• Jeffrey Dean Smith Jr., LVN

• Intellectual Disabilities Intermediate Care Facility in Hanford, CA
• Providers in Hanford, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.