Healthcare Provider Details

I. General information

NPI: 1871422733
Provider Name (Legal Business Name): SMARTCARE LINK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 28TH AVE N STE A111
SAINT CLOUD MN
56303-4219
US

IV. Provider business mailing address

1440 36TH AVE N
SAINT CLOUD MN
56303-1539
US

V. Phone/Fax

Practice location:
  • Phone: 320-217-2286
  • Fax:
Mailing address:
  • Phone: 320-217-2286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: ABDIRASHID SHARIF MOHAMED
Title or Position: CEO
Credential:
Phone: 320-217-2286