MEDICARE: SMITH & CO HOME HEALTHCARE AGENCY

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	251S00000X	Community/Behavioral Health Agency
2	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1639906324
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMITH & CO HOME HEALTHCARE AGENCY

Provider Business Mailing Address
First Line	:	2700 N LIBERTY ST
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27105-4438
Country	:	US
Telephone Number	:	843-907-1850
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 N LIBERTY ST
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27105-4438
Country	:	US
Telephone Number	:	843-907-1850
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARY SMITH
Credential	:
Telephone Number	:	843-907-1850

Provider Enumeration Date	:	09/17/2024
Last Update Date	:	12/11/2025

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