Pro-Services Professinal Services

LBN: Living Hope Second Chance Llc
Pro-Services Professinal Services is an health care organization with primary practice located at 7400 Metro Blvd Ste 230 , Edina MN 55439-2352. The organization recently has 11 registered licenses in different health care specialties including Other Service Providers / Meals, Other Service Providers / Peer Specialist, Agencies / Local Education Agency (LEA), Agencies / Home Health, Ambulatory Health Care Facilities / Clinic/Center, Suppliers / Home Delivered Meals, Transportation Services / Non-emergency Medical Transport (VAN), Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Mental Illness, Child, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Other Service Providers / Prevention Professional. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Living Hope Second Chance Llc can be contacted via phone (612) 203-4535, or through Anderson, Tavia Lynne via phone (612) 203-4535.

Contact Information

Primary practice address
7400 Metro Blvd Ste 230 Edina MN 55439-2352
Phone: (612) 203-4535
Fax: (952) 217-4427
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Tavia Lynne
Phone: (612) 203-4535

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Meals 174200000X
Other Service Providers / Peer Specialist 175T00000X
Agencies / Local Education Agency (LEA) 251300000X
Agencies / Home Health 251E00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Suppliers / Home Delivered Meals 332U00000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Respite Care Facility / Respite Care 385H00000X
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Other Service Providers / Prevention Professional 405300000X

Profile Details

NPI number 1306350178
LBN Legal business name Living Hope Second Chance Llc
DBA Doing business as Pro-Services Professinal Services
Authorized official Anderson, Tavia Lynne
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 30th, 2017
Last updated Oct 16th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1306350178 NPPES
Minnesota MEDICAID 1306350178
Minnesota Other 1306350178

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