Active NPI
Kimberly Smith
- Home Health Aide
- Savannah, GA
National Provider Identifier
1861867285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- IHCP-0483
- Practice address
- 7370 Hodgson Memorial Dr
D2
Savannah, GA 31406-2536 - Phone
- (912) 239-4816
- Fax
- (912) 999-6926
- NPI assigned
- Dec 10, 2015
- 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 Aide | 374U00000X | IHCP-0483 | SC | Primary |
Addresses
Primary practice location
7370 Hodgson Memorial Dr
D2
Savannah, GA 31406-2536
Mailing address
7370 Hodgson Memorial Dr
D2
Savannah, GA 31406-2536
Phone (912) 239-4816
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 |
|---|---|---|---|
| IHCP-0483 | SC | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Helpers | 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 and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Savannah, GA
- NPI 1255796777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449705600000",
"number": "1861867285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7370 HODGSON MEMORIAL DR",
"address_2": "D2",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062536",
"telephone_number": "912-239-4816",
"fax_number": "912-999-6926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7370 HODGSON MEMORIAL DR",
"address_2": "D2",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062536",
"telephone_number": "912-239-4816",
"fax_number": "912-999-6926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-10",
"last_updated": "2015-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "SC",
"license": "IHCP-0483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.