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KELLY SMITH NPI 1003005513


NPI Profile

NPI: 1003005513
Provider Name: KELLY SMITH

Doing Business As: OPTIMAL HOME CARE & STAFFING

Classification:Licensed Vocational Nurse - 164X00000X
Entity Type: Organization
Address:
30724 BENTON RD
C-302 #551
WINCHESTER, CA
ZIP 92596
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Phone: (951) 837-4703

KELLY SMITH is a licensed vocational nurse in Winchester, CA. The provider is an individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. KELLY SMITH NPI is 1003005513. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Optimal Home Care & Staffing.

The provider's business location address is:

30724 BENTON RD
C-302 #551
WINCHESTER, CA
ZIP 92596-470
Phone: (951) 837-4703
Fax: (951) 837-4702

The provider's authorized official is Kelly Smith .
The authorized official title is Nurse and has the following contact phone number (951) 837-4703.

The enumeration date for this NPI number is 10/20/2007 and was last updated on 4/4/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1164X00000XLicensed Vocational Nurse187389CALIFORNIAYes

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: 6/14/2021

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