Healthcare Provider Details

I. General information

NPI: 1083203145
Provider Name (Legal Business Name): NORQUETTA SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2021
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5247 ARCH ST
MAPLE HEIGHTS OH
44137-1507
US

IV. Provider business mailing address

5247 ARCH ST
MAPLE HEIGHTS OH
44137-1507
US

V. Phone/Fax

Practice location:
  • Phone: 216-337-6154
  • Fax:
Mailing address:
  • Phone: 216-337-6154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: