MEDICARE: SMC AHSTON INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1407531767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMC AHSTON INC

Provider Business Mailing Address
First Line	:	7100 NORTHLAND CIR N STE 207
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55428-1500
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7435 78TH CT N
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55445-2757
Country	:	US
Telephone Number	:	763-566-0831
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ROGER BONNY
Credential	:
Telephone Number	:	763-566-0831

Provider Enumeration Date	:	06/15/2023
Last Update Date	:	06/15/2023

Similar Medicare Providers

1437861739 — HI-QUALITY TRANSPORT LLC
Practice Location Address:

300 SAINT JAMES PL APT 3
BROOKLYN, NY
11238-2757

Practice Phone: 347-307-5010
Practice Fax:

1346295631 — HOOSIER CARE, INC.
Practice Location Address:

1820 WALTER LAWSON DR
LOVES PARK, IL
61111-2757

Practice Phone: 815-633-6636
Practice Fax: 815-633-6387

1578676391 — HOOSIER CARE
Practice Location Address:

1820 WALTER LAWSON DR
LOVES PARK, IL
61111-2757

Practice Phone: 815-633-6636
Practice Fax: 815-633-6387

1881809101 — DR. DAVID C JONES,JR. DDS
Practice Location Address:

4 INDUSTRIAL PARK DR , SUITE F
WALDORF, MD
20602-2757

Practice Phone: 301-645-0093
Practice Fax: 301-645-4713

1184897175 — ROCKY MOUNTAIN AUTISM CENTER, INC
Practice Location Address:

8600 PARK MEADOWS DRIVE , SUITE 800
LONE TREE, CO
80124-2757

Practice Phone: 303-985-1133
Practice Fax:

1770731358 — DONALD WOOD SMITH MD PC
Practice Location Address:

830 PARK AVE
NEW YORK, NY
10021-2757

Practice Phone: 212-744-2224
Practice Fax: 212-751-6330

Directions to “SMC AHSTON INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.