Organization Active NPI

LTC Services, Inc

Doing business as LTC Wheelchairs

  • Durable Medical Equipment & Medical Supplies
  • Bloomington, MN
National Provider Identifier
1346308913
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LTC SERVICES, INC
Doing business as
LTC Wheelchairs
Practice address
5200 W 78TH St
Bloomington, MN 55435-5303
Phone
(952) 941-6800
Fax
(952) 941-6006
NPI assigned
Dec 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lori Ann Hulsebus, OTR
Title
Ceo
Phone
(952) 941-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

5200 W 78TH St
Bloomington, MN 55435-5303

Mailing address

5200 W 78TH St
Bloomington, MN 55435-5303
Phone (952) 941-6800

Other identifiers 5

IdentifierTypeStateIssuer
243K7LTOtherMNBLUECROSSBLUESHIELD#
82-00446OtherMNMEDICA#
1041562OtherMNPREFERREDONE#
165337OtherMNUCARE#
97883OtherMNHEALTHPARTNERS#

Other names 1

  • LTC Wheelchairs Doing business as

National Provider Directory

National Provider Directory

Locations

5200 W 78th St
Minneapolis, MN 55435
Phone (952) 941-6800

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346308913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 W 78TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355303",
            "telephone_number": "952-941-6800",
            "fax_number": "952-941-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 W 78TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355303",
            "telephone_number": "952-941-6800",
            "fax_number": "952-941-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HULSEBUS",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-941-6800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD#",
            "identifier": "243K7LT",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA#",
            "identifier": "82-00446",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE#",
            "identifier": "1041562",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE#",
            "identifier": "165337",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS#",
            "identifier": "97883",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LTC Wheelchairs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.