Life Rejuvenated Usa, Llc, NPI 1780251223
Point of Service in Roseville, MN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1780251223
NPI Entity Type Organization
Provider Name Life Rejuvenated Usa, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1935 County Road B2 W Ste 74, Roseville, MN, US
Provider Mailing Address 1675 Village Trl E Unit 6, Maplewood, MN, US, 551095820
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name DR. MD Simon Mittal
Official Position PRESIDENT
Phone 507-363-9367

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

305S00000X

Taxonomy Name Point of Service
Classification

Point of Service

Group

Managed Care Organizations

Description This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Other Organization Name

Life Rejuvenated
Doing Business As

Business Address

Life Rejuvenated Usa, Llc
1935 County Road B2 W Ste 74

Roseville, MN, US

Phone: 800-583-5290

Mailing Address

Life Rejuvenated Usa, Llc
1675 Village Trl E Unit 6
Maplewood, MN, US
ZIP 551095820
Phone: 507-363-9367

Secondary Taxonomies

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