SMYRNA ENTERPRISES, INC; NPI #1295817906

Contact Information

SMYRNA ENTERPRISES, INC

518 VALENCIA ST
LAS VEGAS, NM 87701-3716

Phone: 505-425-3880
Fax: 505-425-2929
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Hospice Care, Community Based	251G00000X	B4[14]	Hospice
Home Health	251E00000X	A4[11]	Home Health Agency

Indicates primary specialty

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NPI Profile & details for SMYRNA ENTERPRISES, INC

NPI # 1295817906

LBN Legal business name SMYRNA ENTERPRISES, INC

Authorized official JUSTIN SMITH - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/20/2006

Last updated 10/10/2011 - About 15 years ago

Identifiers

NM	License #	3209
NM	License #	3211
NM	License #	3221
NM	Other	3209	STATE LICENSE
NM	Other	3211	STATE LICENSE
NM	Other	3221	STATE LICENSE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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