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REDEMPTION PCA SERVICES LLC
NPI 1407534886
Home Health in Crystal, MN

Active since July 06, 2023
6000 BASS LAKE RD STE 120, CRYSTAL, MN 55429(763) 406-0577 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Redemption Pca Services Llc NPPES

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

REDEMPTION PCA SERVICES LLC (NPI 1407534886) is a healthcare organization registered as a home health in Crystal, Minnesota and active in the NPI registry since July 2023. The organization lists Samon Dawon Bahtuoh, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407534886
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameREDEMPTION PCA SERVICES LLC
Location Address6000 BASS LAKE RD STE 120Crystal, MN 55429-2768
Mailing Address6000 Bass Lake Rd Ste 120Crystal, MN 55429-2768 · (763) 406-0577
Phone(763) 406-0577
Organization SubpartNo
Authorized OfficialSamon Dawon BahtuohCeo · (763) 406-0577
Enumeration DateJuly 6, 2023
NPPES CertifiedJuly 6, 2023
✔ NPI 1407534886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
6000 BASS LAKE RD STE 120, Crystal, MN 55429
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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 Redemption Pca Services LLC's NPI number?

The NPI number for Redemption Pca Services LLC is 1407534886. It was assigned to this organization in the NPPES registry on July 6, 2023.

Where is Redemption Pca Services LLC located?

Redemption Pca Services LLC is located at 6000 Bass Lake Rd Ste 120, Crystal, MN 55429. The listed phone number is (763) 406-0577.

What is Redemption Pca Services LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Redemption Pca Services LLC was last updated on July 6, 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.