| Simplicity Transitional Health Llc | |
|
11605 Sun Glow Ct Louisville KY 40272-3883 | |
| (502) 445-7957 | |
| Not Available |
| Full Name | Simplicity Transitional Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 11605 Sun Glow Ct, Louisville, Kentucky |
| Authorized Official Name and Position | Rayshunale Smith (OWNER) |
| Authorized Official Contact | 5022301180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Simplicity Transitional Health Llc 11605 Sun Glow Ct Louisville KY 40272-3883 Ph: (502) 445-7957 | Simplicity Transitional Health Llc 11605 Sun Glow Ct Louisville KY 40272-3883 Ph: (502) 445-7957 |
| NPI Number | 1831884568 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 07/18/2023 |
| Medicare PECOS PAC ID | 8123464146 |
|---|---|
| Medicare Enrollment ID | O20240313001869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831884568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rayshunale Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639420276 PECOS PAC ID: 8022260520 Enrollment ID: I20121207000430 |
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