MEDICARE: SYLVIA 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	164W00000X	Licensed Practical Nurse	191954	OH
2	3747P1801X	Personal Care Attendant	40098061090	OH

General Provider Information

NPI Number	:	1750910139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYLVIA SMITH

Provider Business Mailing Address
First Line	:	4995 TURNEY RD
Second Line	:
City	:	GARFIELD HTS
State	:	OH
Zip	:	44125-2529
Country	:	US
Telephone Number	:	216-459-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4995 TURNEY RD
Second Line	:
City	:	GARFIELD HTS
State	:	OH
Zip	:	44125-2529
Country	:	US
Telephone Number	:	216-459-7000
Fax Number	:

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

Provider Enumeration Date	:	04/07/2020
Last Update Date	:	12/08/2025

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Directions to “ SYLVIA SMITH ” Practice Location

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