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LIFE REJUVENATED USA, LLC

Point of Service

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.

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Contact Information

LIFE REJUVENATED USA, LLC
1935 COUNTY ROAD B2 W STE 74
ROSEVILLE, MN  55113-2722
 Phone: 800-583-5290
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Point of Service

 305S00000X
 

Rehabilitation Practitioner

 225400000X
Indicates primary specialty

NPI Profile & details for LIFE REJUVENATED USA, LLC

NPI # 1780251223
LBN Legal business name LIFE REJUVENATED USA, LLC
Authorized official SIMON MITTAL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2021
Last updated 06/04/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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