Active NPI
Urs Sub I, LLC
Doing business as Pediatric Home Service
- Durable Medical Equipment & Medical Supplies
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 1000532
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000987 | Other | TX | DEVICE DISTRIBUTOR |
Other names 1
- Pediatric Home Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110411000388 | TX | DME Supplier - Medical Supply Company | 7810171154 | Practice locations: Waco, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Pediatric Home Service | 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 assignment |
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.
-
- Durable Medical Equipment & Medical Supplies
- Waco, TX
- NPI 1588647226
Member Of
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.
-
- Other Technician
- Waco, TX
- NPI 1174816748
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.