PEDIATRIC HOME RESPIRATORY SERVICES LLC (NPI# 1629141213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629141213 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC HOME RESPIRATORY SERVICES LLC |
| Other Organization Name | PEDIATRIC HOME SERVICE |
| Practice Address |
2800 Cleveland Ave N Roseville MN 55113-1126 |
| Practice Telephone | 6516421825 |
| Practice Fax Number | 6516380690 |
| Mailing Telephone | 6516421825 |
| Mailing Fax Number | 6516380690 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2018-12-03 |
| Authorized Official Name | LAURIE FINCH (BILLING MANAGER) |
| Authorized Official Telephone | 6516421825 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS-MN | 239L7PE | 01 |
| MN | 242121600 | 05 |
| Other Name | Type Code |
|---|---|
| Pediatric Home Service | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144722190 | Pediatric Home Respiratory Services LLC | Home Health | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2018-03-06 |
| 1790943199 | Pediatric Home Respiratory Services LLC | Community/Behavioral Health | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2008-06-02 |
| 1932266632 | Pediatric Home Respiratory Services LLC | Pharmacy | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2007-01-02 |
| 1285706911 | Pediatric Home Respiratory Services LLC | Home Health | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2006-11-15 |
| Street Address |
2800 CLEVELAND AVE N |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129211 | Briana Blackstad | Pharmacist | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2018-09-26 |
| 1699272823 | Alea Joy Chalmers | Dietitian, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2018-04-13 |
| 1518464742 | Kayla Emily Skog | Dietitian, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2018-04-13 |
| 1144722190 | Pediatric Home Respiratory Services LLC | Home Health | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2018-03-06 |
| 1316482649 | Sonja Mydels | Dietitian, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2016-12-22 |
| 1427488048 | Lana Kalleen Clark | Dietitian, Registered | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2013-11-18 |
| 1205197936 | Karah Lin Pendergrass | Licensed Practical Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2012-05-29 |
| 1740540475 | Katherine Louise Peper | Student in an Organized Health Care Education/Training Program | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2012-05-29 |
| 1205110749 | Mari Brown | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-10-03 |
| 1174807614 | Muna Abdi | Registered Nurse | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2011-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912494683 | Kacy Cosmetics Inc | Durable Medical Equipment & Medical Supplies | 2100 Snelling Ave N Ste 72, Roseville, MN 55113-6035 | 2018-04-18 |
| 1275046013 | Home Care Delivered, Inc. | Durable Medical Equipment & Medical Supplies | 1915 Highway 36 W Ste 174, Roseville, MN 55113-2709 | 2017-11-15 |
| 1447603998 | Emed Transport | Durable Medical Equipment & Medical Supplies | 448 Talon Reach Ct, Roseville, CA 95747-7107 | 2016-07-20 |
| 1013386986 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 20891 E 13 Mile Rd, Roseville, MI 48066-4530 | 2015-09-21 |
| 1831593342 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1492 Blue Oaks Blvd, Roseville, CA 95747-7143 | 2014-10-13 |
| 1932540846 | Innovations Health Devices LLC | Durable Medical Equipment & Medical Supplies | 1009 Enterprise Way Ste 350, Roseville, CA 95678-3019 | 2013-07-09 |
| 1346513272 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 18325 E 10 Mile Rd Ste 400, Roseville, MI 48066-4990 | 2012-02-23 |
| 1902104722 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1771 Pleasant Grove Blvd, Suite 100, Roseville, CA 95747-8720 | 2011-03-02 |
| 1013239409 | Scooter On, Inc. | Durable Medical Equipment & Medical Supplies | 1740 Fergus Dr, Roseville, CA 95747-5855 | 2010-02-25 |
| 1124354675 | American Medequip, LLC. | Durable Medical Equipment & Medical Supplies | 1009 Enterprise Way Ste 100, Roseville, CA 95678-3018 | 2009-10-18 |
| Find all providers in ROSEVILLE | ||||
Please comment or provide details below to improve the information on PEDIATRIC HOME RESPIRATORY SERVICES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.