Provider Demographics
NPI:1447578380
Name:SMART HOME HEALTH
Entity type:Organization
Organization Name:SMART HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:V
Authorized Official - Last Name:ROUMO
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:281-650-4435
Mailing Address - Street 1:8422 MANASSAS LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6362
Mailing Address - Country:US
Mailing Address - Phone:281-650-4435
Mailing Address - Fax:281-491-3268
Practice Address - Street 1:8422 MANASSAS LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6362
Practice Address - Country:US
Practice Address - Phone:281-650-4435
Practice Address - Fax:281-491-3268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-15
Last Update Date:2010-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health