MEDICARE: LA SMITH'S ELITE CAREGIVERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1255107314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LA SMITH'S ELITE CAREGIVERS LLC

Provider Business Mailing Address
First Line	:	1418 HARLOW ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15204-1141
Country	:	US
Telephone Number	:	412-722-4662
Fax Number	:

Provider Business Practice Location Address
First Line	:	1418 HARLOW ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15204-1141
Country	:	US
Telephone Number	:	412-722-4662
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. BABE R BROWN-SMITH
Credential	:
Telephone Number	:	412-722-4662

Provider Enumeration Date	:	11/30/2023
Last Update Date	:	11/30/2023

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