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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306350178 | NPPES |
| Minnesota | MEDICAID | 1306350178 | |
| Minnesota | Other | 1306350178 |
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