1. Home
  2. Directory
  3. Minnesota
  4. Edina
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

PROFICIO ANCILLARY SERVICE PROVIDER, LLC
NPI 1366139768
Durable Medical Equipment & Medical Supplies in Edina, MN

Active since April 18, 2023
4445 W 77TH ST STE 208, EDINA, MN 55435(952) 562-2900(248) 487-9442 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Proficio Ancillary Service Provider, Llc NPPES

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

PROFICIO ANCILLARY SERVICE PROVIDER, LLC (NPI 1366139768) is a healthcare organization registered as a durable medical equipment & medical supplies in Edina, Minnesota and active in the NPI registry since April 2023. The organization lists Bruce Capagli, Coo, as its authorized official.

NPPES Registry Identity

NPI1366139768
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePROFICIO ANCILLARY SERVICE PROVIDER, LLC
Location Address4445 W 77TH ST STE 208Edina, MN 55435-5190
Mailing Address7455 France Ave S Ste 373Edina, MN 55435-4702
Phone(952) 562-2900
Fax(248) 487-9442
Organization SubpartNo
Authorized OfficialBruce CapagliCoo · (952) 562-2900
Enumeration DateApril 18, 2023
NPPES CertifiedApril 18, 2023
✔ NPI 1366139768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedTransportation BrokerTaxonomy 347E00000X
4445 W 77TH ST STE 208, Edina, MN 55435
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

ADVANCED RECOVERY SPECIALISTS, LLC
Durable Medical Equipment & Medical Supplies
4445 W 77TH ST STE 208
EDINA, MN 55435
Hennepin County (529) 562-2900

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 Proficio Ancillary Service Provider, LLC's NPI number?

The NPI number for Proficio Ancillary Service Provider, LLC is 1366139768. It was assigned to this organization in the NPPES registry on April 18, 2023.

Where is Proficio Ancillary Service Provider, LLC located?

Proficio Ancillary Service Provider, LLC is located at 4445 W 77th St Ste 208, Edina, MN 55435. The listed phone number is (952) 562-2900.

What is Proficio Ancillary Service Provider, 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 Proficio Ancillary Service Provider, LLC was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.