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NPI Code Detail

MEDICARE: SMARTCARES MN LLC

MEDICARE: SMARTCARES MN LLC
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1457193013
Entity Type Code : Organization
Provider Name (Legal Business Name) : SMARTCARES MN LLC
Provider Business Mailing Address
First Line : 1865 OLD HUDSON RD # B15
Second Line :
City : SAINT PAUL
State : MN
Zip : 55119-4308
Country : US
Telephone Number : 612-426-0524
Fax Number :
Provider Business Practice Location Address
First Line : 1865 OLD HUDSON RD # B15
Second Line :
City : SAINT PAUL
State : MN
Zip : 55119-4308
Country : US
Telephone Number : 612-426-0524
Fax Number : 612-460-9827
Authorized Official
Title or Position : ADMINISTRATOR
Name : AHMED MUHIDIN ALI
Credential :
Telephone Number : 763-292-3188
Provider Enumeration Date : 06/12/2024
Last Update Date : 01/26/2026

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Directions to “SMARTCARES MN LLC ” Practice Location

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