MR. LEROY SMITH (NPI# 1205095239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205095239 |
| Entity Type | Individual |
| Full Name | MR. LEROY SMITH |
| Credential | COTA |
| Practice Address |
200 W Constance Rd Suffolk VA 23434-4413 |
| Mailing Address |
4413 Birch Rd Portsmouth VA 23703-1501 |
| Practice Telephone | 7575398744 |
| Practice Fax Number | 7575398764 |
| Mailing Telephone | 7574831419 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 1008775 | VA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457453532 | Leroy Andrew Smith | Orthopaedic Surgery | 1625 Se 3 Ave, Suite 700, Ft Lauderdale, FL 33316-2521 | 2006-09-01 |
| 1366849119 | Leroy Willie Smith | Social Worker | 14 S Broadway, Baltimore, MD 21231-1712 | 2014-11-21 |
| 1477857936 | Leroy Joseph Smith | Nurse Anesthetist, Certified Registered | 8000 Al Highway 69, Guntersville, AL 35976-7140 | 2010-12-27 |
| 1700830601 | Leroy Carter Smith | Family Medicine | 2755 Silver Creek Rd, Suite 111, Bullhead City, AZ 86442-7904 | 2006-05-22 |
| 1457334682 | Leroy Smith Jr. | Internal Medicine | 5226 Dawes Ave, Alexandria, VA 22311-1404 | 2005-11-22 |
| Street Address |
200 W CONSTANCE RD |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23434-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447333141 | Kindred Nursing Centers East, L.L.C. | Skilled Nursing Facility | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2006-10-24 |
| 1366002107 | Accordius Health At Nansemond Pointe LLC | Assisted Living Facility | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2019-06-14 |
| 1962061143 | Accordius Health At Nansemond Pointe LLC | Respite Care | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2019-06-11 |
| 1326603614 | Shaila Marcano-stewart | Occupational Therapy Assistant | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2019-05-02 |
| 1811412570 | Eagle Acquisition Xii LLC | Skilled Nursing Facility | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2017-08-03 |
| 1053836726 | Eagle Acquisition Xv LLC | Assisted Living Facility | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2017-08-03 |
| 1811397532 | Kindred Nursing Centers East, LLC | Assisted Living Facility | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2014-08-29 |
| 1265725246 | Melvin Joseph Baker | Occupational Therapy Assistant | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2011-05-24 |
| 1346403805 | Fenton Renee Rhaney | Occupational Therapist | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2008-07-04 |
| 1760641112 | Ashley Ann Brooks Campos | Contractor | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2008-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235780255 | Chiquita Savage | Home Health | You 1st Healthcare, 112 West Washington Street Suite 502, Suffolk, VA 23434 | 2019-09-20 |
| 1912561713 | Revivication Counseling Services | Counselor | 814 Cripple Creek Lane, Suffolk, VA 23434 | 2019-04-26 |
| 1558826958 | Nita Jenkins | Non-emergency Medical Transport (VAN) | 707 Gittings St. Suite 105, Suffolk, VA 23434 | 2019-02-10 |
| 1730660952 | Latrese L Riddick | Driver | 418 Jackson St, Suffolk, VA 23434 | 2018-08-25 |
| 1114411279 | Percilla D Zeno | Community Health Worker | 102 Niblick Cir, Suffolk, VA 23434 | 2018-06-21 |
| 1437652765 | Aprele Gaddie | Health Educator | 2769 Godwin Boulevard, Suffolk, VA 23434 | 2018-03-13 |
| 1598284283 | Domonic Teheran Scott | Driver | 102 Brewer Ave, Suffolk, VA 23434 | 2017-09-13 |
| 1578089397 | Nakia Shantel Francis | Nurse Practitioner | 2970 Godwin Blvd, Suite 320, Suffolk, VA 23434 | 2017-08-15 |
| 1679093009 | Daisy Mae Aba, LLC | Behavioral Analyst | 3212 Clearcreek Rd., Suffolk, VA 23434 | 2017-06-27 |
| 1114457736 | Better Care Family Homes | Day Training, Developmentally Disabled Services | 813 West Washington Street, Suffolk, VA 23434 | 2017-06-15 |
| Find all providers in zip 23434 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316393945 | Tonia Morrison | Contractor | 107 Windsor Ct, Suffolk, VA 23434-9288 | 2016-05-12 |
| 1245657980 | Jeffrey Dorsey | Contractor | 5116 Hunters Creek Pl, Suffolk, VA 23435-2685 | 2014-03-19 |
| 1760641112 | Ashley Ann Brooks Campos | Contractor | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2008-06-02 |
| 1013176452 | Sharon 01 Furney | Contractor | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2008-06-02 |
| 1336306190 | Ella Doran | Contractor | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2008-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639780901 | S&p Medical Billing LLC | Contractor | 6100 Silversmith Ct Apt 202, Virginia Beach, VA 23464-4848 | 2020-08-11 |
| 1417573429 | Jennifer Garrett Forsythe | Contractor | 2919 Sweetberry Ct, Chester, VA 23831-5224 | 2020-06-25 |
| 1902429715 | Ernie Okorie | Contractor | 5270 Duke St, Alexandria, VA 22304-2943 | 2020-05-27 |
| 1811519036 | Ainsworth Walker | Contractor | 327 Lonesome Dove Ln, Lawrenceville, VA 23868-2934 | 2020-05-11 |
| 1346869500 | Theress Lasharn Brooks | Contractor | 9413 Stonewall Rd, Manassas, VA 20110-5529 | 2020-04-08 |
| 1366082331 | Aric Anquain Mayo | Contractor | 8137 Seaview Dr, Chesterfield, VA 23838-5109 | 2020-01-08 |
| 1821636788 | Roscoe Callaway | Contractor | 1121 Campostella Rd, Norfolk, VA 23523-2103 | 2019-12-11 |
| 1790321453 | Katrice M Stancil | Contractor | 864 Crashaw St, Virginia Beach, VA 23462-6916 | 2019-11-18 |
| 1235774894 | Rebecca Louise Neill | Contractor | 630 Hofstadter Rd Ste 125, Newport News, VA 23606-3066 | 2019-11-07 |
| 1710520440 | Amie Lovette Smith | Contractor | 8295 Southampton Pkwy Lot 8, Drewryville, VA 23844-2059 | 2019-10-25 |
| Find all providers with the same taxonomy | ||||
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| 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.