MEDICARE: SMART CARE FOR SENIORS LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1154256063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMART CARE FOR SENIORS LLC

Provider Business Mailing Address
First Line	:	6911 ALLISON ST APT D3
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20784-2030
Country	:	US
Telephone Number	:	202-826-2319
Fax Number	:

Provider Business Practice Location Address
First Line	:	6911 ALLISON ST APT D3
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20784-2030
Country	:	US
Telephone Number	:	202-826-2319
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	IFEOMA VIVIAN OKONKWO
Credential	:
Telephone Number	:	202-826-2319

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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