AGEGRACE, INC.


Address: 635 Phalen Blvd Apt 401, Saint Paul, MN 55130-5308
Phone: 6127078121

AGEGRACE, INC. (NPI# 1033738554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033738554
Entity Type Organization
Organization Name AGEGRACE, INC.
Other Organization Name JAO COMPANIES
Practice Address 635 Phalen Blvd Apt 401
Saint Paul
MN 55130-5308
Mailing Address Po Box 28041
Oakdale
MN 55128-0041
Practice Telephone 6127078121
Mailing Telephone 6127078121
Enumeration Date 2020-04-14
Last Update Date 2020-11-05
Authorized Official Name JENNIFER OWENS (CEO/ADMINISTRATOR)
Authorized Official Telephone 6127078121
Authorized Official Credential QDDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 172V00000X Community Health Worker Other Service Providers
N 251E00000X Home Health Agencies
N 251S00000X Community/Behavioral Health Agencies
N 253Z00000X In Home Supportive Care Agencies
Y 302R00000X Health Maintenance Organization Managed Care Organizations

Other Provider Identifier

State Issuer Identifier Type Code
MN M52298200 05

Other Provider/Organization Names

Other Name Type Code
JAO Companies Other Name - Individual/Organization

Office Location

Street Address 635 PHALEN BLVD APT 401
City SAINT PAUL
State MN
Zip Code 55130-5308

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154922011 Jennifer Owens Case Manager/Care Coordinator 635 Phalen Blvd Apt 401, Saint Paul, MN 55130-5308 2020-11-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1881015253 Lucas Bosco Wanga Psychologist 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 2014-01-02
1174865570 Sarang Patel Internal Medicine 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 2013-03-23
1427394501 Zongxee Lee Registered Nurse 1072 Payne Ave, St. Paul, MN 55130 2012-12-18
1740532753 One Stop Medical Supply Inc Durable Medical Equipment & Medical Supplies 1049 Payne Ave Suite C, St Paul, MN 55130 2012-10-15
1689923997 Alexis Simmons Counselor 402 University Ave East, Suite A-127, Saint Paul, MN 55130 2012-08-31
1689804064 Group Health Plan, Inc. Durable Medical Equipment & Medical Supplies 537 Phalen Blvd, Saint Paul, MN 55130 2009-07-21
1477756534 Chad Everett Christensen Chiropractor 1073 Payne Ave, Saint Paul, MN 55130 2007-06-07
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Taxonomy Information

Taxonomy Code 302R00000X
Grouping Managed Care Organizations
Classification Health Maintenance Organization

Taxonomy Definition

(1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58

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1871879676 Walgreens Health Maintenance Organization 99 Maryland Ave W, Saint Paul, MN 55117-4528 2011-10-25
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NPI Name Taxonomy Address Enumeration
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1235581059 Wertish Chiropractic, LLC Health Maintenance Organization 401 N 3rd St Ste 220, Minneapolis, MN 55401-1349 2016-07-05
1407219645 Fowsia S Isse Health Maintenance Organization 5519 Lyndale Ave N, Minneapolis, MN 55430-3216 2016-04-04
1073976601 Shakopee Pain Clinic Health Maintenance Organization 255 1st Ave E, Shakopee, MN 55379-1440 2016-03-31
1083075949 Unitedhealthcare Insurance Company Health Maintenance Organization 9700 Health Care Ln, Hopkins, MN 55343-4522 2016-03-18
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Competitor

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City SAINT PAUL
Zip Code 55130

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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