KELLY SMITH NPI 1003005513

Licensed Vocational Nurse

KELLY SMITH

Kelly Smith is a licensed vocational nurse in Winchester, CA. Kelly Smith NPI is 1003005513. The provider's taxonomy code is 164X00000X - Licensed Vocational Nurse.The provider is doing business as is Optimal Home Care & Staffing. 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.

NPI Profile Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

NPI: 1003005513
Provider Name: KELLY SMITH
NPI Entity Type: Organization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).

Is Sole Proprietor?: N/A
Is Organization Subpart?: No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Enumeration Date: 10-20-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date: 04-04-2012 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.


Other Organization Name: OPTIMAL HOME CARE & STAFFING Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Other Name Type: Doing Business As (3)

Authorized Official Name: KELLY SMITH L.V.N. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Title: NURSE
Authorized Official Phone: (951) 837-4703


Taxonomies


The taxonomy code defines the provider type, classification, and specialization. For individual NPIs the license data is associated to the taxonomy code.

Map Location


KELLY SMITH address is 30724 BENTON RD C-302 #551 WINCHESTER, CA 92596 Get Directions