KELLY SMITH (NPI# 1003005513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003005513 |
| Entity Type | Organization |
| Organization Name | KELLY SMITH |
| Other Organization Name | OPTIMAL HOME CARE & STAFFING |
| Practice Address |
30724 Benton Rd C-302 #551 Winchester CA 92596-8470 |
| Mailing Address |
29970 Technology Dr #208 Murrieta CA 92563-2645 |
| Practice Telephone | 9518374703 |
| Practice Fax Number | 9518374702 |
| Mailing Telephone | 9518374703 |
| Mailing Fax Number | 9518374702 |
| Enumeration Date | 2007-10-20 |
| Last Update Date | 2012-04-04 |
| Authorized Official Name | KELLY SMITH (NURSE) |
| Authorized Official Telephone | 9518374703 |
| Authorized Official Credential | L.V.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 187389 | CA | Nursing Service Providers |
| Other Name | Type Code |
|---|---|
| optimal home care & staffing | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | KELLY SMITH INVESTMENTS LLC | 3808 Serene Way, Lynnwood, WA 98087 |
| Washington State Corporations | KELLY SMITH MEDIA LLC | 1324 N Liberty Lake Rd Ste 365, Liberty Lake, WA 99019-8523 |
| Colorado Business Entities | Kelly Smith Photography LLC | 5 Foothill Ash, Littleton, CO 80127 |
| Iowa Business Entities | KELLY SMITH RETAIL LLC | 1305 B Ave., Muscatine, IA 52761 |
| Street Address |
30724 BENTON RD C-302 #551 |
| City | WINCHESTER |
| State | CA |
| Zip Code | 92596-8470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881979276 | A Step In The Right Direction LLC | Community/Behavioral Health | 31123 Janelle Ln, Street Address, Winchester, CA 92596 | 2011-10-17 |
| 1316047624 | Garfield Beach Cvs LLC | Pharmacy | 30736 Benton Rd, Winchester, CA 92596 | 2006-09-25 |
| 1093785685 | Jose Garcia Jimenez | Dental Hygienist | 31835 Corte San Pablo, Winchester, CA 92596 | 2006-01-25 |
| 1134597321 | Maila Sucaldito Bundalian | Registered Nurse | 32864 Bachelor Peak Street, Winchester, CA 92596-5201 | 2015-09-04 |
| 1144213091 | Sharon Denise Clay Matemavi | Nurse Practitioner | 34875 Pourroy Rd Apt 1408, Winchester, CA 92596-8184 | 2005-08-25 |
| 1194045823 | Maria Celeste Solomon | Speech-Language Pathologist | 35081 Lone Hill Ct, Winchester, CA 92596-8344 | 2010-06-04 |
| 1790115814 | Angie Miller | Speech-Language Pathologist | 31160 Pinon Pine Cir, Winchester, CA 92596-8353 | 2013-11-26 |
| 1316556350 | Honestlove Global Homecare Agency LLC | In Home Supportive Care | 35676 Small Pine Ct, Winchester, CA 92596-8376 | 2020-07-27 |
| 1194351023 | Supannee Sandra Lertpaichaiyon | Pharmacist | 32627 Presidio Hills Ln, Winchester, CA 92596-8434 | 2020-03-23 |
| 1720376171 | Ildiko Venczel | Pharmacist | 30712 Benton Rd, Winchester, CA 92596-8466 | 2011-07-19 |
| Find all providers in zip 92596 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| 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. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508218082 | Catherine Berglund | Licensed Vocational Nurse | 120 Pebble Beach Ct, Winchester, OR 97495 | 2016-07-07 |
| 1861816464 | James Dyas | Licensed Vocational Nurse | 35270 Slater Avenue, Winchester, CA 92596-8705 | 2014-02-18 |
| 1568721686 | Amber Lynn Kuhn | Licensed Vocational Nurse | 32317 Shallot Ct, Winchester, CA 92596-9107 | 2012-05-09 |
| 1548528540 | Vanessa Lerma Jones | Licensed Vocational Nurse | 34949 Viscaria Ct, Winchester, CA 92596-8968 | 2012-04-26 |
| 1811142540 | Maria Louisa Hernandez | Licensed Vocational Nurse | 31193 Euclid Loop, Winchester, CA 92596-8702 | 2008-11-21 |
| 1023272978 | Elizabeth Silva Mills | Licensed Vocational Nurse | 36425 Cognac St, Winchester, CA 92596-9109 | 2008-07-10 |
| 1801087457 | Charles Ugwumba | Licensed Vocational Nurse | 31139 Peregrine Way, Winchester, CA 92596-9806 | 2007-08-08 |
| 1962032441 | Tonya Haynes | Licensed Vocational Nurse | 338 Joyce Ln, Winchester, TN 37398-3326 | 2020-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931846 | Deanna Barfield | Licensed Vocational Nurse | 9633 Laurel St, Bellflower, CA 90706-5318 | 2020-10-31 |
| 1710587639 | Steven Wheeler Knight Thomspon | Licensed Vocational Nurse | 10960 Poppy Field Cir, Moreno Valley, CA 92557-3912 | 2020-10-29 |
| 1942800982 | Michelle Marie Toman | Licensed Vocational Nurse | 900 Weber Cir Apt 105, Ventura, CA 93003-8248 | 2020-10-29 |
| 1326647876 | Valeria Brinkers | Licensed Vocational Nurse | 1225 Calle Fantasia, San Marcos, CA 92069-7353 | 2020-10-25 |
| 1417556374 | Rainville Love Dela Salde | Licensed Vocational Nurse | 1300 Adams Ave Apt 12a, Costa Mesa, CA 92626-8315 | 2020-10-21 |
| 1396344222 | Mary Lynn Anderson | Licensed Vocational Nurse | 311 Oceanside Blvd Spc 49, Oceanside, CA 92054-5130 | 2020-10-21 |
| 1689273674 | To Yen Ruby Ngo | Licensed Vocational Nurse | 10501 Valley Blvd Ste 1200, El Monte, CA 91731-3617 | 2020-10-21 |
| 1699374991 | Patricia Ann Perkins | Licensed Vocational Nurse | 3210 Madera Pl, Oxnard, CA 93033-5756 | 2020-10-19 |
| 1003415308 | Veronica Esparza | Licensed Vocational Nurse | 315 E Ventura St Apt 6, Santa Paula, CA 93060-3824 | 2020-10-19 |
| 1649878166 | Crystal Shin | Licensed Vocational Nurse | 3785 Wilshire Blvd Apt 1804, Los Angeles, CA 90010-2893 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
| City | WINCHESTER |
| Zip Code | 92596 |
Please comment or provide details below to improve the information on KELLY SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.