Organization Active NPI

Smile Nursing Care, Inc

  • Home Health Agency
  • Brooklyn Center, MN
National Provider Identifier
1033344908
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SMILE NURSING CARE, INC
Practice address
5901 Brooklyn Blvd Ste 212
Brooklyn Center, MN 55429-2533
Phone
(763) 531-8117
NPI assigned
May 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Authorized official

Name
Mrs. Helena C Jallah
Title
Ceo
Phone
(763) 531-8117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5901 Brooklyn Blvd Ste 212
Brooklyn Center, MN 55429-2533

Mailing address

5901 Brooklyn Blvd Ste 212
Brooklyn Center, MN 55429-2533

Other identifiers 1

IdentifierTypeStateIssuer
040206003OtherMNMETROPOLITAN HEALTH PLAN

National Provider Directory

National Provider Directory

Locations

5901 Brooklyn Blvd
Ste 212
Brooklyn Center, MN 55429
Phone (763) 531-8117

NPI Registry JSON

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1033344908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 BROOKLYN BLVD STE 212",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 BROOKLYN BLVD STE 212",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292533",
            "telephone_number": "763-531-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE NURSING CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "JALLAH",
        "authorized_official_first_name": "HELENA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-531-8117",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METROPOLITAN HEALTH PLAN",
            "identifier": "040206003",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 21, 2009; 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.