MEDICARE: P.A.L.S LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1639031321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	P.A.L.S LLC

Provider Business Mailing Address
First Line	:	55 LIVINGSTON AVE APT 333
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55107-5701
Country	:	US
Telephone Number	:	952-428-9844
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 LIVINGSTON AVE APT 333
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55107-5701
Country	:	US
Telephone Number	:	952-428-9844
Fax Number	:

Authorized Official
Title or Position	:	OWNER / AUTHORIZED OFFICIAL
Name	:	HANNA LYNN ROBINSON
Credential	:
Telephone Number	:	952-428-9844

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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