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Organization

PEDIATRIC HOME RESPIRATORY SERVICES LLC

Active
Other names
Pediatric Home Service
Organization subpart
No

Provider details

NPI number
Authorized official
CAMEO KAE ZEHNDER (CHIEF ADMINISTRATIVE OFFICER)
(651) 642-1825
Entity
Organization

Contact information

Practice address
2800 CLEVELAND AVE N, ROSEVILLE, MN 55113-1126
(651) 642-1825
(652) 638-0690
Mailing address
2800 CLEVELAND AVE N, ROSEVILLE, MN 55113-1126
(651) 642-1825
(652) 638-0690

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
251J00000X
Nursing Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
242121600
MN
01
8Z50PE
BCBS-MN
MN
Enumeration date
11/15/2006
Last updated
02/02/2026
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