MEDICARE: PRECIOUS 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	171M00000X	Case Manager/Care Coordinator		OH

General Provider Information

NPI Number	:	1396677134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRECIOUS SMITH

Provider Business Mailing Address
First Line	:	12840 FAIRHILL RD APT 24
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44120-1227
Country	:	US
Telephone Number	:	216-609-9124
Fax Number	:

Provider Business Practice Location Address
First Line	:	12840 FAIRHILL RD APT 24
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44120-1227
Country	:	US
Telephone Number	:	216-609-9124
Fax Number	:

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

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

Similar Medicare Providers

1134138928 — SABRA RACHELLE MAURICE LCPC
Practice Location Address:

106 GRANT RD
MARQUETTE HEIGHTS, IL
61554-1227

Practice Phone: 309-696-0993
Practice Fax:

1427145499 — DAVID G. MCNEAL M.S.
Practice Location Address:

66 S COUNTRY SQUIRE RD
PALOS HEIGHTS, IL
60463-1227

Practice Phone: 708-785-5036
Practice Fax:

1568676765 — CUYAHOGA COUNTY BD OF MRDD
Practice Location Address:

5041 LEE RD
MAPLE HEIGHTS, OH
44137-1227

Practice Phone: 216-736-2625
Practice Fax: 216-736-2702

1336697127 — WALONNDA MONTGOMERY
Practice Location Address:

11479 225TH ST
CAMBRIA HEIGHTS, NY
11411-1227

Practice Phone: 516-467-6651
Practice Fax:

1154964542 — KOINONIA COMMUNITY SERVICES LLC
Practice Location Address:

5041 LEE RD
MAPLE HEIGHTS, OH
44137-1227

Practice Phone: 216-587-2674
Practice Fax: 216-663-6753

1104601988 — I AM BOUNDLESS, INC.
Practice Location Address:

5041 LEE RD
MAPLE HEIGHTS, OH
44137-1227

Practice Phone: 614-844-3800
Practice Fax:

Directions to “ PRECIOUS SMITH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.