PEDIATRIC HOME RESPIRATORY SERVICES LLC (NPI# 1790943199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790943199 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC HOME RESPIRATORY SERVICES LLC |
| Practice Address |
2800 Cleveland Ave N Roseville MN 55113-1126 |
| Practice Telephone | 6516421825 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2018-12-05 |
| 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 |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS MN | 09439PE | 01 |
| MN | MEDICARE ID | 1068680001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629141213 | Pediatric Home Respiratory Services LLC | Home Health | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2006-11-15 |
| 1144722190 | Pediatric Home Respiratory Services LLC | Home Health | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2018-03-06 |
| 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 |
|---|---|---|---|---|
| 1629141213 | Pediatric Home Respiratory Services LLC | Home Health | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2006-11-15 |
| 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 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593654 | Wellpath Community Care LLC | Community/Behavioral Health | 1130 Conroy Ln Ste 100, Roseville, CA 95661-4154 | 2020-06-24 |
| 1851897870 | Live Better LLC | Community/Behavioral Health | 2277 Highway 36 W Ste 306, Roseville, MN 55113-3830 | 2018-03-30 |
| 1124471107 | Turning Leaf Therapy | Community/Behavioral Health | 2589 Hamline Ave N Ste C, Roseville, MN 55113-3185 | 2016-07-14 |
| 1568817492 | Kirsten Mj Marsh, Ma Lmft, LLC | Community/Behavioral Health | 3101 Old Highway 8 Ste 304b, Roseville, MN 55113-1072 | 2016-04-28 |
| 1245615392 | True North Counseling Clinic LLC | Community/Behavioral Health | 3101 Old Highway 8 Ste 304a, Roseville, MN 55113-1072 | 2015-07-29 |
| 1326420993 | Beloved Recovery | Community/Behavioral Health | 919 Reserve Dr, Suite 125, Roseville, CA 95678-1346 | 2015-06-19 |
| 1497158604 | Uplift Family Services | Community/Behavioral Health | 1624 Santa Clara Dr, Suite 145, Roseville, CA 95661-3554 | 2014-10-01 |
| 1497186225 | Hope and Healing Family Therapy, LLC | Community/Behavioral Health | 2499 Rice St Ste 70, Roseville, MN 55113-3724 | 2013-12-04 |
| 1194080234 | Partners In Recovery | Community/Behavioral Health | 1611 County Road B W, Suite 212, Roseville, MN 55113-5021 | 2012-07-04 |
| 1558644633 | Joining Hands Child and Family Counseling Services, LLC | Community/Behavioral Health | 1711 County Road B W Ste 113s, Roseville, MN 55113-4000 | 2011-09-24 |
| Find all providers in ROSEVILLE | ||||
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| 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.