MEDICARE: ISMART HOME CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	376J00000X	Homemaker

General Provider Information

NPI Number	:	1134922859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ISMART HOME CARE

Provider Business Mailing Address
First Line	:	30 UNION ST
Second Line	:
City	:	ELIZABETH
State	:	NJ
Zip	:	07202-2177
Country	:	US
Telephone Number	:	855-476-2780
Fax Number	:	855-476-2780

Provider Business Practice Location Address
First Line	:	2598 E SUNRISE BLVD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33304-3230
Country	:	US
Telephone Number	:	855-476-2780
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TYWAN D MATA
Credential	:
Telephone Number	:	908-808-2126

Provider Enumeration Date	:	03/28/2025
Last Update Date	:	03/28/2025

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Directions to “ISMART HOME CARE ” Practice Location

Language	Start Address	Practice Location

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