Active NPI
Smile Nursing Care, Inc
- Home Health Agency
- Brooklyn Center, MN
National Provider Identifier
1033344908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040206003 | Other | MN | METROPOLITAN HEALTH PLAN |
National Provider Directory
National Provider DirectoryLocations
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.