Pediatric Home Service
LBN: Pediatric Home Respiratory Services Llc
Pediatric Home Service is an health care organization with primary practice located at 2800 Cleveland Ave N , Roseville MN 55113-1126. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Pediatric Home Respiratory Services Llc can be contacted via phone (651) 642-1825, or through Zehnder, Cameo Kae via phone (651) 642-1825.
Contact Information
Primary practice address
2800 Cleveland Ave N
Roseville MN 55113-1126
Phone: (651) 642-1825
Fax: (651) 638-0690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1629141213 |
|---|---|
| LBN Legal business name | Pediatric Home Respiratory Services Llc |
| DBA Doing business as | Pediatric Home Service |
| Authorized official | Zehnder, Cameo Kae |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Mar 17th, 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 | 1629141213 | NPPES |
| Minnesota | Other | 239L7PE | BCBS-MN |
| Minnesota | MEDICAID | 242121600 | BCBS-MN |
| Minnesota | MEDICAID | 100085688 | BCBS-MN |
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