MR. VICTOR ONEIL SMITH CEO/COO NPI 1407220627

NPI Information

NPI: 1407220627
Provider Name: MR. VICTOR ONEIL SMITH, CEO/COO
Classification: Adult Companion - 372600000X
Entity Type: Individual
Address:
121 COLONIAL GLN
JACKSON, MS
ZIP 39211
Phone: (601) 573-8651
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MR. Victor Oneil Smith, CEO/COO is an adult companion in Jackson, MS. The provider is an individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. MR. Victor Oneil Smith, CEO/COO NPI is 1407220627. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

121 COLONIAL GLN
JACKSON, MS
ZIP 39211-305
Phone: (601) 573-8651

The enumeration date for this NPI number is 11/26/2015 and was last updated on 11/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	372600000X	Adult Companion		421763537	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	421763537	OTHER	MISSISSIPPI	501 (C) (3) ORGANIZATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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