EDDIE CHARLES SMITH HOME HEALTH PROVIDER - NPI 1609622448 - Assisted Living Facility in Little Rock, AR

Q: What is Eddie Smith's NPI number?

The NPI number for Eddie Smith is 1609622448. It was assigned to this individual provider in the NPPES registry on April 24, 2024.

Q: What is Eddie Smith's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Q: When was this NPI record last updated?

The NPPES record for Eddie Smith was last updated on April 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Eddie Charles Smith Home Health Provider NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDDIE CHARLES SMITH HOME HEALTH PROVIDER (NPI 1609622448) is an individual assisted living, mental illness provider in Little Rock, Arkansas and active in the NPI registry since April 2024. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609622448

Entity TypeIndividualMale

Primary Taxonomy3104A0625X

Provider Legal NameEDDIE CHARLES SMITHCredential: HOME HEALTH PROVIDER

Location Address21005 HIGHWAY 365 SLittle Rock, AR 72206-8964

Mailing Address21005 Highway 365 SLittle Rock, AR 72206-8964 · (501) 772-7824

Phone(501) 765-4953

Sole ProprietorYes

Enumeration DateApril 24, 2024

NPPES CertifiedApril 24, 2024

✔ NPI 1609622448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

Also ListedDietary ManagerTaxonomy 132700000X

Also ListedPersonal Emergency Response AttendantTaxonomy 146D00000X

Also ListedMilitary Health Care ProviderTaxonomy 171000000X

Also ListedHealth and Wellness CoachTaxonomy 171400000X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedDriverTaxonomy 172A00000X · License 904810414 (AR)

Also ListedMealsTaxonomy 174200000X

Also ListedPeer SpecialistTaxonomy 175T00000X

Also ListedLodgingTaxonomy 177F00000X

Also ListedPharmacy TechnicianTaxonomy 183700000X

Also ListedHome HealthTaxonomy 251E00000X

Also ListedHome Health AideTaxonomy 374U00000X

21005 HIGHWAY 365 S, Little Rock, AR 72206

Open in Google Maps ↗

Secondary Practice Locations 2

Location 15111 Roundtop DrNorth Little Rock, AR 72117-2187 · Phone (501) 772-7824

Location 25 W Avalon DrNorth Little Rock, AR 72118-5103 · Phone (501) 772-7824

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eddie Smith's NPI number?

The NPI number for Eddie Smith is 1609622448. It was assigned to this individual provider in the NPPES registry on April 24, 2024.

Where is Eddie Smith located?

Eddie Smith practices at 21005 Highway 365 S, Little Rock, AR 72206. The listed phone number is (501) 765-4953.

What is Eddie Smith's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Eddie Smith was last updated on April 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.