Personal Care Assistance LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PERSONAL CARE ASSISTANCE LLC

Practice address

2355 Highway 36 W # 481
Saint Paul, MN 55113-3902

Phone

(616) 634-1297

Fax

(651) 393-4373

NPI assigned

Sep 10, 2021

Organization subpart

No

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

Authorized official

Name

Fadil Jama, RN

Title

President

Phone

(616) 634-1297

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1982373049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 COUNTY ROAD B W APT 1",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134019",
            "telephone_number": "616-634-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W # 481",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551133902",
            "telephone_number": "616-634-1297",
            "fax_number": "651-393-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL CARE ASSISTANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "FADIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-634-1297",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A759128300",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A820658000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Perry, MA
• Anna Perry, L.AC.
• Sherriah Perry
• Persevere Health Services
• Kylee N Persing, PA
• Personal Care Services, Inc.
• Karli Persson
• Kelly Pertzsch, MA
• Eva Pesch, MD
• Madeleine Pesch, MD

• Home Health Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.