MS. LISA D SMITH NPI 1558514505

NPI Information

NPI: 1558514505
Provider Name: MS. LISA D SMITH
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Individual
Address:
93 S MCCAIN DR
FREDERICK, MD
ZIP 21703
Phone: (410) 597-8788
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MS. Lisa D Smith is a residential treatment facility, intellectual and/or developmental disabilities in Frederick, MD. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. MS. Lisa D Smith NPI is 1558514505. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

93 S MCCAIN DR
FREDERICK, MD
ZIP 21703-007
Phone: (410) 597-8788

The enumeration date for this NPI number is 11/3/2008 and was last updated on 11/3/2008.

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	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		06000	MARYLAND	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	752D	MEDICARE UPIN	MARYLAND
2	216211300	MEDICAID	MARYLAND

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: 4/28/2024

NPI Synchronization or Removal

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