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Pediatric Home Respiratory Services Llc
Durable Medical Equipment & Medical Supplies in Roseville, Minnesota
NPI 1629141213

Pediatric Home Respiratory Services Llc is a Durable Medical Equipment & Medical Supplies based in Roseville, MN. Pediatric Home Respiratory Services Llc practices in Roseville, MN. The NPI Number for Pediatric Home Respiratory Services Llc is 1629141213 and holds a License No. (Minnesota).

The current practice location address for Pediatric Home Respiratory Services Llc is 2800 Cleveland Ave N, Roseville, MN and can be reached out via phone at 651-642-1825 and via fax at 651-638-0690.

Location: 2800 Cleveland Ave N, Roseville, MN, 55113-1126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629141213
Provider Name
Pediatric Home Respiratory Services Llc
Credential
Provider Entity Type
Organization
Address
2800 Cleveland Ave N, Roseville, MN, 55113-1126
Phone Number
651-642-1825
Fax Number
651-638-0690
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
239L7PE 01 MN BCBS-MN
242121600 05 MN
100085688 05 WI
institution
Provider Business Practice Location Address Details
Address
2800 Cleveland Ave N
City
Roseville
State
Minnesota
Zip
55113-1126
Phone Number
651-642-1825
Fax Number
651-638-0690
person
Provider Business Mailing Address Details
Address
2800 Cleveland Ave N
City
Roseville
State
Minnesota
Zip
55113-1126
Phone Number
651-642-1825
Fax Number
651-638-0690
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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