NPI Code Details Logo

NPI 1275347205

NPI 1275347205 : SMB CAPITAL SOLUTIONS LLC : SUMMERVILLE, SC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1275347205
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SMB CAPITAL SOLUTIONS LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/31/2025
-----------------------------------------------------
    Last Update Date     |    01/31/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    627 OLD TROLLEY RD STE D 
-----------------------------------------------------
    City                 |    SUMMERVILLE
-----------------------------------------------------
    State                |    SC
-----------------------------------------------------
    Zip                  |    29485-5673
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    855-750-0614
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4900 OHEAR AVE STE 100 
-----------------------------------------------------
    City                 |    NORTH CHARLESTON
-----------------------------------------------------
    State                |    SC
-----------------------------------------------------
    Zip                  |    29405-5091
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OPERATIONS MANAGER
-----------------------------------------------------
    Name                 |    MRS. SHARON  BROWN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    855-750-0614
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    3747P1801X
-----------------------------------------------------
    Taxonomy Name        |    Personal Care Attendant
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    343900000X
-----------------------------------------------------
    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    372600000X
-----------------------------------------------------
    Taxonomy Name        |    Adult Companion
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.