Provider Demographics
NPI:1558188508
Name:PISO HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:PISO HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ASHEILD
Authorized Official - Middle Name:MCSUDE N
Authorized Official - Last Name:SONII
Authorized Official - Suffix:
Authorized Official - Credentials:MENTAL HEALTH WORKER
Authorized Official - Phone:763-777-1114
Mailing Address - Street 1:7420 UNITY AVE N STE C-100
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-3143
Mailing Address - Country:US
Mailing Address - Phone:763-269-0032
Mailing Address - Fax:
Practice Address - Street 1:7420 UNITY AVE N STE C-100
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-3143
Practice Address - Country:US
Practice Address - Phone:763-269-0032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care