Healthcare Provider Details

I. General information

NPI: 1912413204
Provider Name (Legal Business Name): ROBINET ELANE SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROBINET ELANE SMITH

II. Dates (important events)

Enumeration Date: 12/21/2017
Last Update Date: 08/14/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 HANNA DR
COLUMBUS OH
43211-1986
US

IV. Provider business mailing address

2401 HANNA DR
COLUMBUS OH
43211-1986
US

V. Phone/Fax

Practice location:
  • Phone: 614-232-7895
  • Fax:
Mailing address:
  • Phone: 614-531-2829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: