# SMITH STREET VILLAGE FAMILY CARE HOME, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275916942
- **Authorized official:** MR. NICHOLAS B STREET RN (PRESIDENT/ADMINISTRATOR)
- **Authorized official phone:** (828) 676-5600

## Contact information

- **Practice address:** 234 COUNTRY TIME LN, LEICESTER, NC 28748-6213
- **Practice address phone:** (828) 676-5600
- **Mailing address:** PO BOX 889, MOUNTAIN HOME, NC 28758-0889
- **Mailing address phone:** (828) 676-5600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/30/2015
- **Last updated:** 07/14/2015