NPIMap

Organization Active NPI

SMC Ahston Inc

  • Assisted Living Facility
  • Brooklyn Center, MN
National Provider Identifier
1003590209
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SMC AHSTON INC
Practice address
6642 Dupont Ave N
Brooklyn Center, MN 55430-1808
Phone
(763) 566-0831
NPI assigned
Jun 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Roger Bonny
Title
Ceo
Phone
(860) 967-9340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

6642 Dupont Ave N
Brooklyn Center, MN 55430-1808

Mailing address

7100 Northland Cir N Ste 207
Brooklyn Park, MN 55428-1500
Phone (860) 967-9340

Other names 1

  • ASHTON - Dupont Other name

National Provider Directory

National Provider Directory
Tax ID family
SMC Ahston Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7100 Northland Cir N
Ste 207
Brooklyn Park, MN 55428

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1003590209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 NORTHLAND CIR N STE 207",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281500",
            "telephone_number": "860-967-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6642 DUPONT AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301808",
            "telephone_number": "763-566-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMC AHSTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "BONNY",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-967-9340"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASHTON - Dupont",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.