Healthcare Provider Details

I. General information

NPI: 1093727273
Provider Name (Legal Business Name): RICE HOME MEDICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 19TH AVE SW
WILLMAR MN
56201-5005
US

IV. Provider business mailing address

2730 NEVADA AVE N
NEW HOPE MN
55427-2807
US

V. Phone/Fax

Practice location:
  • Phone: 320-235-8434
  • Fax: 320-235-6855
Mailing address:
  • Phone: 763-535-5335
  • Fax: 763-536-3590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number773325900
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number773325900
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number773325900
License Number StateMN
# 4
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number773325900
License Number StateMN
# 5
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number773325900
License Number StateMN

VIII. Authorized Official

Name: SEAN STEINHAUSER
Title or Position: DIRECTOR OF BILLING & COMPLIANCE
Credential:
Phone: 763-535-5335