Sajo Home Care Services Inc.

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

License

342984 Issued in MN

Legal business name

SAJO HOME CARE SERVICES INC.

Practice address

9007 Idaho Ave N
Brooklyn Park, MN 55445-3215

Phone

(763) 424-2184

Fax

(952) 583-1065

NPI assigned

Dec 30, 2009

Organization subpart

Yes

Parent organization

PARENT ORGANIZATIONAs reported in NPPES

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

Authorized official

Name

Mrs. Grace Jokotola Adejuwon, MD

Title

Administrator

Phone

(763) 424-2184

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1336479104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9007 IDAHO AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554453215",
            "telephone_number": "763-424-2184",
            "fax_number": "952-583-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9007 IDAHO AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554453215",
            "telephone_number": "763-424-2184",
            "fax_number": "952-583-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAJO HOME CARE SERVICES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARENT ORGANIZATION",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "ADEJUWON",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "JOKOTOLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "763-424-2184",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "MN",
            "license": "342984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• PACE Provider Organization in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• PACE Provider Organization in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.