Organization Active NPI

Personalized Care for All LLC

  • Home Health Agency
  • Inver Grove Heights, MN
National Provider Identifier
1336876796
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PERSONALIZED CARE FOR ALL LLC
Practice address
5972 Cahill Ave Ste 101
Inver Grove Heights, MN 55076-1521
Phone
(651) 478-6770
Fax
(651) 478-6772
NPI assigned
Aug 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Authorized official

Name
Ayan Yusuf Ismail
Title
Owner
Phone
(651) 478-6770

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

5972 Cahill Ave Ste 101
Inver Grove Heights, MN 55076-1521

Mailing address

5972 Cahill Ave Ste 101
Inver Grove Heights, MN 55076-1521
Phone (651) 478-6770

Other identifiers 1

IdentifierTypeStateIssuer
408368OtherMNHOME CARE LICENSE

National Provider Directory

National Provider Directory

Locations

5972 Cahill Ave
Ste 101
Inver Grove Heights, MN 55076
Phone (651) 478-6770

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1336876796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5972 CAHILL AVE STE 101",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761521",
            "telephone_number": "651-478-6770",
            "fax_number": "651-478-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5972 CAHILL AVE STE 101",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761521",
            "telephone_number": "651-478-6770",
            "fax_number": "651-478-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED CARE FOR ALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "AYAN",
        "authorized_official_middle_name": "YUSUF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-478-6770"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE LICENSE",
            "identifier": "408368",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inver Grove Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.