Organization Active NPI

Personal Care Services, Inc.

  • Home Health Agency
  • Saint Paul, MN
National Provider Identifier
1841356334
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PERSONAL CARE SERVICES, INC.
Practice address
315 University Ave W
Saint Paul, MN 55103-2048
Phone
(651) 290-2437
Fax
(651) 291-1680
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jimmy JJ Phouisangiem
Title
Director
Phone
(651) 291-1680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

315 University Ave W
Saint Paul, MN 55103-2048

Mailing address

315 University Ave W
Saint Paul, MN 55103-2048
Phone (651) 290-2437

Other names 1

  • Life Care Home Health Former legal business name

National Provider Directory

National Provider Directory

Locations

315 University Ave W
Saint Paul, MN 55103
Phone (651) 290-2437

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841356334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551032048",
            "telephone_number": "651-290-2437",
            "fax_number": "651-291-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551032048",
            "telephone_number": "651-290-2437",
            "fax_number": "651-291-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHOUISANGIEM",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "JJ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-291-1680"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Care Home Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 22, 2020; 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.