Life Rejuvenated Usa, Llc

LBN: Life Rejuvenated Usa, Llc
Life Rejuvenated Usa, Llc is an health care organization with primary practice located at 1935 County Road B2 W Ste 74 , Roseville MN 55113-2722. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Managed Care Organizations / Point of Service. Managed Care Organizations / Point of Service is the primary health care specialty. Life Rejuvenated Usa, Llc can be contacted via phone (800) 583-5290, or through Mittal, Simon via phone (507) 363-9367.

Contact Information

Primary practice address
1935 County Road B2 W Ste 74 Roseville MN 55113-2722
Phone: (800) 583-5290
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mittal, Simon Doctor of Medicine (MD)
Phone: (507) 363-9367

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1780251223
LBN Legal business name Life Rejuvenated Usa, Llc
DBA Doing business as
Authorized official Mittal, Simon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2021
Last updated Jun 4th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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