Healthcare Provider Details

I. General information

NPI: 1134669633
Provider Name (Legal Business Name): SMARTER COMPANION CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2017
Last Update Date: 03/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 CLARK PLZ
WARSAW NC
28398-1800
US

IV. Provider business mailing address

105 CLARK'S PLAZA
WARSAW NC
28398
US

V. Phone/Fax

Practice location:
  • Phone: 910-935-0626
  • Fax: 910-296-1005
Mailing address:
  • Phone: 910-305-3234
  • Fax: 910-296-1005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number281846
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number281846
License Number StateNC

VIII. Authorized Official

Name: MS. APRIL ADRENIA KEITH
Title or Position: OFFICE MANGER
Credential: OFFICE MANGER
Phone: 910-305-3234