MEDICARE: LETETIA SMITH, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	163WX1500X	Ostomy Care Registered Nurse
2	251B00000X	Case Management Agency
3	251T00000X	PACE Provider Organization
4	385H00000X	Respite Care
5	177F00000X	Lodging Provider
6	251J00000X	Nursing Care Agency
7	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
8	163WC2100X	Continence Care Registered Nurse
9	347C00000X	Private Vehicle
10	385HR2065X	Child Physical Disabilities Respite Care
11	320800000X	Mental Illness Community Based Residential Treatment Facility
12	174200000X	Meals Provider
13	251K00000X	Public Health or Welfare Agency
14	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1588422067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LETETIA SMITH, LLC

Provider Business Mailing Address
First Line	:	1604 CROWN POINT DR
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75036-8770
Country	:	US
Telephone Number	:	214-448-6626
Fax Number	:

Provider Business Practice Location Address
First Line	:	1604 CROWN POINT DR
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75036-8770
Country	:	US
Telephone Number	:	214-448-6626
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	LETETIA SMITH
Credential	:	RN
Telephone Number	:	214-448-6626

Provider Enumeration Date	:	03/11/2024
Last Update Date	:	01/08/2026

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Directions to “LETETIA SMITH, LLC ” Practice Location

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