Sebandy Pca Services, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

SEBANDY PCA SERVICES, LLC

Practice address

2548 Lisa LN NE
Rochester, MN 55906-6209

Phone

(651) 383-6764

Fax

(507) 281-1162

NPI assigned

Nov 18, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Renae Ann Cooley

Title

Owner/QP/Aa

Phone

(651) 383-6764

Specialties & licenses 1

Addresses

Other names 1

• Renae Cooley Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1265806954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 LISA LN NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559066209",
            "telephone_number": "651-383-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2548 LISA LN NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559066209",
            "telephone_number": "651-383-6764",
            "fax_number": "507-281-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBANDY PCA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "RENAE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/QP/AA",
        "authorized_official_telephone_number": "651-383-6764"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renae Cooley",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexia Rae Searle, APRN
• Cameron Gary Searle, PA
• Seasons Hospice
• Kala Seawright, MD
• Sebandy Home Care Services, LLC
• Arjun S Sebastian, MD
• Nicole Catherine Sebastian, APRN, CNP
• Holly Sebesta, CRNA
• Zeynep Idil Seckin, MD
• Daniel Thomas Secor, MD

• Preferred Provider Organization in Rochester, MN
• Providers in Rochester, MN by specialty
• Preferred Provider Organization in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.