Minnesota Medical And Rehabilitative Services, Llc
LBN: Minnesota Medical And Rehabilitative Services, Llc
Minnesota Medical And Rehabilitative Services, Llc is an health care organization with primary practice located at 4201 Excelsior Blvd , St. Louis Park MN 55416-4728. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Minnesota Medical And Rehabilitative Services, Llc can be contacted via phone (952) 564-3880, or through Frid, Leon B via phone (952) 564-3880.
Contact Information
Primary practice address
4201 Excelsior Blvd
St. Louis Park MN 55416-4728
Phone: (952) 564-3880
Fax: (952) 945-9536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1544 | Minnesota |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5806 | Minnesota |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2264 | Minnesota |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 102980 | Minnesota |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 5169 | Minnesota |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 6034 | Minnesota |
Profile Details
| NPI number | 1154302545 |
|---|---|
| LBN Legal business name | Minnesota Medical And Rehabilitative Services, Llc |
| DBA Doing business as | |
| Authorized official | Frid, Leon B Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 11th, 2005 |
| Last updated | Nov 30th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154302545 | NPPES |
| Minnesota | MEDICAID | 407858600 | |
| Minnesota | MEDICAID | 1154302545 |
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