Healthcare Provider Details

I. General information

NPI: 1477485621
Provider Name (Legal Business Name): SM HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 E WASHINGTON ST
MEDINA OH
44256-2128
US

IV. Provider business mailing address

10 EXECUTIVE BLVD STE 204
SUFFERN NY
10901-4169
US

V. Phone/Fax

Practice location:
  • Phone: 330-725-4123
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: EITAN LAGHAIE
Title or Position: VP OF HR
Credential:
Phone: 330-725-4123