SAND PINE PHEASANTS FAMILY RECREATION LLC
NPI 1225675739
Durable Medical Equipment & Medical Supplies in Avon, MN

Q: What is Sand Pine Pheasants Family Recreation LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since December 03, 2019

12195 NORWAY RD, AVON, MN 56310(320) 363-4790(320) 363-4790 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sand Pine Pheasants Family Recreation Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAND PINE PHEASANTS FAMILY RECREATION LLC (NPI 1225675739) is a healthcare organization registered as a durable medical equipment & medical supplies in Avon, Minnesota and active in the NPI registry since December 2019. The organization lists Keith Joseph Sand, Owner, as its authorized official.

NPPES Registry Identity

NPI1225675739

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameSAND PINE PHEASANTS FAMILY RECREATION LLC

Location Address12195 NORWAY RDAvon, MN 56310-4502

Mailing Address12195 Norway RdAvon, MN 56310-4502 · (320) 363-4790 · Fax (320) 363-4790

Phone(320) 363-4790

Fax(320) 363-4790

Organization SubpartNo

Authorized OfficialKeith Joseph SandOwner · (320) 363-4790

Enumeration DateDecember 3, 2019

✔ NPI 1225675739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

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.

12195 NORWAY RD, Avon, MN 56310

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Other Names 1

Doing Business AsSand Pine Pheasants Family Recreation Llc

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KEITH JOSEPH SAND

Durable Medical Equipment & Medical Supplies

12195 NORWAY RD
AVON, MN 56310

Stearns County (320) 363-4790

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sand Pine Pheasants Family Recreation LLC's NPI number?

The NPI number for Sand Pine Pheasants Family Recreation LLC is 1225675739. It was assigned to this organization in the NPPES registry on December 3, 2019.

Where is Sand Pine Pheasants Family Recreation LLC located?

Sand Pine Pheasants Family Recreation LLC is located at 12195 Norway Rd, Avon, MN 56310. The listed phone number is (320) 363-4790.

What is Sand Pine Pheasants Family Recreation LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Sand Pine Pheasants Family Recreation LLC was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.