Healthcare Provider Details

I. General information

NPI: 1497606198
Provider Name (Legal Business Name): SMYLEIGH INDUSTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2026
Last Update Date: 03/01/2026
Certification Date: 03/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 NACONA DR
PROSPER TX
75078-5021
US

IV. Provider business mailing address

1425 NACONA DR
PROSPER TX
75078-5021
US

V. Phone/Fax

Practice location:
  • Phone: 972-275-9530
  • Fax:
Mailing address:
  • Phone: 972-275-9530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: KYLE SWEEPER
Title or Position: VICE PRESIDENT
Credential:
Phone: 972-275-9530