Provider Demographics
NPI:1326721770
Name:SMART COMPASSIONATE CARE
Entity Type:Organization
Organization Name:SMART COMPASSIONATE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PUSHKIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:ASIIMWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-647-4630
Mailing Address - Street 1:6218 LILAC DR N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55430-2249
Mailing Address - Country:US
Mailing Address - Phone:763-647-4630
Mailing Address - Fax:612-486-7156
Practice Address - Street 1:6218 LILAC DR N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55430-2249
Practice Address - Country:US
Practice Address - Phone:763-647-4630
Practice Address - Fax:612-486-7156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251G00000XAgenciesHospice Care, Community Based
No251S00000XAgenciesCommunity/Behavioral Health
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, ChildGroup - Multi-Specialty