MEDICARE: FALISHA SMITH

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

General Provider Information

NPI Number	:	1336008093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FALISHA SMITH

Provider Business Mailing Address
First Line	:	804 NE 81ST ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73114-4004
Country	:	US
Telephone Number	:	916-272-4102
Fax Number	:

Provider Business Practice Location Address
First Line	:	804 NE 81ST ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73114-4004
Country	:	US
Telephone Number	:	916-272-4102
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “ FALISHA SMITH ” Practice Location

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