Healthcare Provider Details

I. General information

NPI: 1518699818
Provider Name (Legal Business Name): FAITH A SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2022
Last Update Date: 09/11/2025
Certification Date: 08/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 STEVENS RD
SUMMERSVILLE WV
26651-9704
US

IV. Provider business mailing address

1 STEVENS RD
SUMMERSVILLE WV
26651-9704
US

V. Phone/Fax

Practice location:
  • Phone: 304-872-2090
  • Fax:
Mailing address:
  • Phone: 304-872-2090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: