Smart Choice Adult Day Care LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SMART CHOICE ADULT DAY CARE LLC

Practice address

521 Cedar Ave S
Minneapolis, MN 55454

Phone

(612) 205-1408

NPI assigned

Dec 4, 2017

Last updated

Aug 30, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beteleham Y WalleNPI 1730635715

Title

Director

Phone

(612) 205-1408

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beteleham Walle

  • Non-emergency Medical Transport (VAN)
  • New Brighton, MN
  • NPI 1730635715
  Authorized official Same address or phone

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1437664125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 CEDAR AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541218",
            "telephone_number": "612-205-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 CEDAR AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55454",
            "telephone_number": "612-205-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART CHOICE ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "WALLE",
        "authorized_official_first_name": "BETELEHAM",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-205-1408"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina M Slusher, MD
• Jeff Kyle Slywka, RPH
• Amber Small, REGISTERED NURSE
• Moira E Smallacombe
• Jacqueline Ruth Smalley, LPCC, LADC
• Smart Choice MRI, LLC (Smart Choice MRI Minneapolis)
• Smart Therapy Center LLC
• Charles Duncan Smart
• Keenan Matthew Smart, LPCC
• William Loren Smart

• Community/Behavioral Health Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.