Organization
SMART COMPASSIONATE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PUSHKIN E ASIIMWE (OWNER)
(763) 647-4630
Entity
Organization
Contact information
Practice address
5701 SHINGLE CREEK PKWY STE 500G, BROOKLYN CENTER, MN 55430-2352
(763) 647-4630
(612) 486-7156
Mailing address
5701 SHINGLE CREEK PKWY STE 500G, BROOKLYN CENTER, MN 55430-2352
(763) 647-4630
(612) 486-7156
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
372500000X
Chore Provider
Primary
—
—
374U00000X
Home Health Aide
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
08/11/2023
Last updated
10/04/2024
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