Provider Demographics
NPI:1851155386
Name:AJ HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:AJ HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:
Authorized Official - First Name:ASIA
Authorized Official - Middle Name:HASSAN
Authorized Official - Last Name:JAMA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:612-483-8090
Mailing Address - Street 1:2106 PEMBINA LN
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-5906
Mailing Address - Country:US
Mailing Address - Phone:612-483-8090
Mailing Address - Fax:612-746-7003
Practice Address - Street 1:2106 PEMBINA LN
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-5906
Practice Address - Country:US
Practice Address - Phone:612-483-8090
Practice Address - Fax:612-746-7003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-06
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty