Provider Demographics
NPI:1801373949
Name:ROCHESTER HOME INFUSION, INC.
Entity type:Organization
Organization Name:ROCHESTER HOME INFUSION, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSELYN
Authorized Official - Middle Name:ARCIAGA
Authorized Official - Last Name:RAYMUNDO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:507-316-0001
Mailing Address - Street 1:221 1ST AVE SW STE 105
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902-3107
Mailing Address - Country:US
Mailing Address - Phone:507-316-0001
Mailing Address - Fax:
Practice Address - Street 1:1400 ENERGY PARK DR STE 17
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55108-5248
Practice Address - Country:US
Practice Address - Phone:612-315-1337
Practice Address - Fax:612-315-1309
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROCHESTER HOME INFUSION, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-22
Last Update Date:2018-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN265607251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion