Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Agegrace, Inc

Organization Community Health Worker · NPI 1033738554

Agegrace, Inc is a Community Health Worker in Saint Paul, Minnesota. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

635 Phalen Blvd Apt 401
Saint Paul, MN 55130-5308
Phone: (612) 707-8121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Maintenance Organization (primary) Taxonomy 302R00000X
Community Health Worker Taxonomy 172V00000X
Home Health Agency Taxonomy 251E00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
In Home Supportive Care Agency Taxonomy 253Z00000X

Record details

NPI number1033738554
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Owens — Ceo/Administrator · (612) 707-8121
Other names Jao Companies
NPI enumeratedApril 14, 2020
Last updated in NPPESNovember 5, 2020
Certification dateNovember 5, 2020
Mailing addressPo Box 28041, Oakdale, MN 55128-0041

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