MEDICARE: SMILES FIRST HOME HEALTHCARE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1447110085
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMILES FIRST HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	26906 ANNAPOLIS ST
Second Line	:
City	:	INKSTER
State	:	MI
Zip	:	48141-3132
Country	:	US
Telephone Number	:	313-231-6007
Fax Number	:

Provider Business Practice Location Address
First Line	:	26906 ANNAPOLIS ST
Second Line	:
City	:	INKSTER
State	:	MI
Zip	:	48141-3132
Country	:	US
Telephone Number	:	313-231-6007
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ALIYA MITCHELL
Credential	:
Telephone Number	:	734-280-9561

Provider Enumeration Date	:	11/17/2025
Last Update Date	:	11/17/2025

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