Professional Pca Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1127286 Issued in MN

Legal business name

PROFESSIONAL PCA SERVICES LLC

Practice address

2610 E 32ND St # 1
Minneapolis, MN 55406-1905

Phone

(612) 238-4623

NPI assigned

Nov 24, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Ahmed Nur

Title

President

Phone

(952) 807-8845

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1235467531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 E 32ND ST # 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061905",
            "telephone_number": "612-238-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 E 32ND ST # 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061905",
            "telephone_number": "612-238-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PCA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "NUR",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-807-8845",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "1127286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.