Gardur Pca Service Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GARDUR PCA SERVICE INC

Doing business as

Gardur Pca Service Inc

Practice address

701 Selby Ave
Saint Paul, MN 55104-6617

Phone

(612) 352-0943

Fax

(651) 815-0163

NPI assigned

Jun 17, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Abdikafi Abdi

Title

Owner/Manager

Phone

(612) 352-0943

Specialties & licenses 1

Addresses

Other names 1

• GARDUR PCA SERVICE INC Doing business as

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1023851292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SELBY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046617",
            "telephone_number": "612-352-0943",
            "fax_number": "651-815-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SELBY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046617",
            "telephone_number": "612-352-0943",
            "fax_number": "651-815-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDUR PCA SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-16",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "ABDIKAFI",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "612-352-0943",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GARDUR PCA SERVICE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mark Anthony Garnett, D.C.

• Home Health Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.