Active NPI
Rayetta Smith Dba Smith and Associates Home Care
- Personal Care Attendant
- Hayti, MO
National Provider Identifier
1942334586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- RAYETTA SMITH DBA SMITH AND ASSOCIATES HOME CARE
- Practice address
- 118 South Third St.
Hayti, MO 63851 - Phone
- (573) 359-2586
- Fax
- (573) 695-7905
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Rayetta Kay Smith
- Title
- Owner
- Phone
- (573) 359-2586
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
118 South Third St.
Hayti, MO 63851
Mailing address
PO Box 432
Hayti, MO 63851-0432
Phone (573) 359-2586
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SM284787900 | Medicaid | MO | |
| SM264787904 | Medicaid | MO | |
| 0005701 | Other | MO | SSBG |
National Provider Directory
National Provider Directory- Tax ID family
- Rayetta Smith Dba Smith and Associates Home Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chore Provider
- Hayti, MO
- NPI 1821113630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665446400000",
"number": "1942334586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 432",
"city": "HAYTI",
"state": "MO",
"postal_code": "638510432",
"telephone_number": "573-359-2586",
"fax_number": "573-695-7905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 SOUTH THIRD ST.",
"city": "HAYTI",
"state": "MO",
"postal_code": "63851",
"telephone_number": "573-359-2586",
"fax_number": "573-695-7905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYETTA SMITH DBA SMITH AND ASSOCIATES HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "RAYETTA",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-359-2586",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SM284787900",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SM264787904",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSBG",
"identifier": "0005701",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hayti, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.