Organization Active NPI

Community Care Link

  • In Home Supportive Care Agency
  • Saint Paul, MN
National Provider Identifier
1336013671
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COMMUNITY CARE LINK
Practice address
465 Wabasha St S Apt 3B
Saint Paul, MN 55107-1167
Phone
(612) 520-1810
Fax
(612) 520-1810
NPI assigned
Sep 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Abdishakur Ali Jama
Title
Manager
Phone
(612) 520-1810

Specialties & licenses 1

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

Addresses

Primary practice location

465 Wabasha St S Apt 3B
Saint Paul, MN 55107-1167

Mailing address

465 Wabasha St S Apt 3B
Saint Paul, MN 55107-1167
Phone (612) 520-1810

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1336013671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 WABASHA ST S APT 3B",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551071167",
            "telephone_number": "612-520-1810",
            "fax_number": "612-520-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WABASHA ST S APT 3B",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551071167",
            "telephone_number": "612-520-1810",
            "fax_number": "612-520-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE LINK",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "ABDISHAKUR",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-520-1810"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.