Organization Active NPI

Ace Pca Service Inc

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1861574071
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
552446600 Issued in MN
Legal business name
ACE PCA SERVICE INC
Practice address
2019 E Lake St
7
Minneapolis, MN 55407-1925
Phone
(612) 721-9900
Fax
(612) 721-9905
NPI assigned
Oct 19, 2006
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Ahmed Roble
Title
Director
Phone
(612) 721-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 552446600 MN Primary

Addresses

Primary practice location

2019 E Lake St
7
Minneapolis, MN 55407-1925

Mailing address

2019 E Lake St
7
Minneapolis, MN 55407-1925
Phone (612) 721-9900

Other identifiers 2

IdentifierTypeStateIssuer
552446600MedicaidMN
388M3ACOtherMNBLUE PLUS

National Provider Directory

National Provider Directory

Locations

2019 E Lake St
#7
Minneapolis, MN 55407
Phone (612) 721-9900

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1861574071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 E LAKE ST",
            "address_2": "7",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071925",
            "telephone_number": "612-721-9900",
            "fax_number": "612-721-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 E LAKE ST",
            "address_2": "7",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071925",
            "telephone_number": "612-721-9900",
            "fax_number": "612-721-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE PCA SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "ROBLE",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-721-9900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "552446600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "552446600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE PLUS",
            "identifier": "388M3AC",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.