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Pediatric Home Service

Home health agency in Roseville, Minnesota · CCN 248149

Contact and basics

  • Address2800 Cleveland Avenue North
    Roseville, MN 55113
  • Phone(651) 642-1825
  • CMS certification number248149
  • Ownership typePROPRIETARY
  • Medicare-certified since11/30/2017

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Questions to take to Pediatric Home Service

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  • For ownership entries below, ask which entity is the direct owner and which supplies management. An officer or managing employee is not necessarily an equity owner.
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Services offered

  • Nursing care
  • Medical social services

Filed ownership and management roles

Each row is a filed role, not a separate shareholding. The same person or organization may appear more than once. Do not add percentages across direct ownership, indirect ownership, officer and management roles. Management roles alone do not establish equity ownership.

DUKE UNIVERSITY — all 2 home health agencies → GEF-APEB, LP — all 2 home health agencies → GOTHIC CORPORATION — all 2 home health agencies →

CMS flags at least one owner here as: holding company, investment firm. These are CMS's own classification checkboxes, reproduced as filed.

OwnerRoleShareAssociated sinceCMS type flags
BRANDYWINE PRIVATE EQUITY PARTNERS (2016), L.P5% OR GREATER INDIRECT OWNERSHIP INTEREST8.7%12/4/2018—
BRANDYWINE PRIVATE EQUITY PARTNERS (2018), L.P.5% OR GREATER INDIRECT OWNERSHIP INTEREST6.1%12/4/2018—
DUKE UNIVERSITY5% OR GREATER INDIRECT OWNERSHIP INTEREST18.6%12/4/2018—
GEF-APEB, LP5% OR GREATER INDIRECT OWNERSHIP INTEREST9.6%9/30/2023—
GOTHIC CORPORATION5% OR GREATER INDIRECT OWNERSHIP INTEREST10%12/4/2018—
INTANDEM CAPITAL OPPORTUNITIES FUND, LP5% OR GREATER INDIRECT OWNERSHIP INTEREST14.3%7/13/2022—
INTANDEM CAPITAL PARTNERS FUND, LP5% OR GREATER INDIRECT OWNERSHIP INTEREST40.4%12/4/2018investment firm
ITC (PHS) PARALLEL FUND, LP5% OR GREATER INDIRECT OWNERSHIP INTEREST18.7%12/4/2018—
PEDIATRIC CARE (ITC) HOLDINGS, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%12/4/2018holding company
PEDIATRIC CARE (ITC) INTERMEDIATE HOLDINGS, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%12/4/2018holding company
PHS HOLDINGS, INC.5% OR GREATER INDIRECT OWNERSHIP INTEREST12.4%12/4/2018—
SFT PRIVATE EQUITY LLC (2016)5% OR GREATER INDIRECT OWNERSHIP INTEREST5.3%6/30/2023—
THE HILLMAN COMPANY5% OR GREATER INDIRECT OWNERSHIP INTEREST5.2%12/4/2018—
ADAM NIELSENCORPORATE OFFICER—9/13/2021—
CAMEO ZEHNDERCORPORATE OFFICER0%9/13/2021—
DRUE POUNDSCORPORATE OFFICER—10/1/2022—
JOYCE BULMANCORPORATE OFFICER—6/13/2024—
JOYCE BULMANW-2 MANAGING EMPLOYEE—5/31/2022—
MICHELLE CURLEYW-2 MANAGING EMPLOYEE—4/18/2018—
REBECCA LONGW-2 MANAGING EMPLOYEE—11/26/2018—
SUSAN WINGERT5% OR GREATER INDIRECT OWNERSHIP INTEREST7%12/4/2018—

Source: CMS Home Health Agency All Owners file, linked to this provider through its Medicare enrollment record. Medicare's Care Compare does not present ownership in this form.

Other home health agencies in Roseville

All home health agencies in Minnesota →

Where these records come from

Everything on this page is reproduced from the CMS Provider Data Catalog (snapshot dates and measure periods vary by dataset) and, where shown, the CMS ownership and Medicare enrollment files. Star ratings and comparison categories are from CMS; explanatory notes provide context. If you believe a figure is wrong, email data@carerecords.org with the CCN and we verify against the official file within 5 business days.

How to cite this page: CareRecords, "Pediatric Home Service — home health agency records, Roseville, MN." Compiled from the CMS Provider Data Catalog (downloaded CMS snapshots (measure periods vary) release), CCN 248149. https://carerecords.org/home-health/minnesota/pediatric-home-service-roseville/