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
(651) 638-0690
Mailing address
2800 CLEVELAND AVE N, ROSEVILLE, MN 55113-1126
(651) 642-1825
(651) 638-0690
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100085688
—
WI
01
—
239L7PE
BCBS-MN
MN
05
—
242121600
—
MN
Enumeration date
11/15/2006
Last updated
02/02/2026
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