Organization Active NPI

Urs Sub I, LLC

Doing business as Pediatric Home Service

  • Durable Medical Equipment & Medical Supplies
  • Waco, TX
National Provider Identifier
1407159817
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1000532 Issued in TX
Legal business name
URS SUB I, LLC
Doing business as
Pediatric Home Service
Practice address
4830 Lakewood Dr Ste 1
Waco, TX 76710-2966
Phone
(254) 751-1556
Fax
(254) 751-1960
NPI assigned
Dec 8, 2010
Organization subpart
Yes
Parent organization
URS SUB, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Cameo Zehnder
Title
Cao
Phone
(651) 642-1825

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1000532 TX Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 1000532 TX

Addresses

Primary practice location

4830 Lakewood Dr Ste 1
Waco, TX 76710-2966

Mailing address

4830 Lakewood Dr Ste 1
Waco, TX 76710-2969
Phone (254) 751-1556

Other identifiers 1

IdentifierTypeStateIssuer
1000987OtherTXDEVICE DISTRIBUTOR

Other names 1

  • Pediatric Home Service Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110411000388 TX DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 7810171154 Practice locations: Waco, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pediatric Home Service4830 Lakewood Dr, Waco, TX 76710-2969(254) 751-1556 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Mail Order)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Penile Pumps|Ostomy Supplies|Tracheotomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Continuous Positiv… Does not accept assignmentParticipating since Jan 4, 2011

National Provider Directory

National Provider Directory
Part of
United Rehab Specialists Inc

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4830 Lakewood Dr
Ste 1
Waco, TX 76710
Phone (254) 751-1556

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1407159817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 LAKEWOOD DR STE 1",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102969",
            "telephone_number": "254-751-1556",
            "fax_number": "254-751-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 LAKEWOOD DR STE 1",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102966",
            "telephone_number": "254-751-1556",
            "fax_number": "254-751-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URS SUB I, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "URS SUB,  LLC",
        "enumeration_date": "2010-12-08",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "ZEHNDER",
        "authorized_official_first_name": "CAMEO",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "651-642-1825"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1000532",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "1000532",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVICE DISTRIBUTOR",
            "identifier": "1000987",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Home Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.