Organization Active NPI

A@J Pca Care L.L.C

  • In Home Supportive Care Agency
  • Saint Cloud, MN
National Provider Identifier
1164391173
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
A@J PCA CARE L.L.C
Practice address
3403 22ND St S Apt 307
Saint Cloud, MN 56301-5078
Phone
(701) 730-8467
NPI assigned
Oct 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Mr. Ahmed R JamaNPI 1295603959
Title
Pca Provider
Phone
(701) 730-8467

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3403 22ND St S Apt 307
Saint Cloud, MN 56301-5078

Mailing address

3403 22ND St S Apt 307
Saint Cloud, MN 56301-5078
Phone (701) 730-8467

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1164391173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 22ND ST S APT 307",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563015078",
            "telephone_number": "701-730-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 22ND ST S APT 307",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563015078",
            "telephone_number": "701-730-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A@J PCA CARE L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PCA PROVIDER",
        "authorized_official_telephone_number": "701-730-8467",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.