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Pds Group LLC

Pds Group LLC is a healthcare organization registered as Health Educator in Bloomington, IN, holding Type 2 (organization) NPI 1366122566 since 2023. The authorized official on file is James Penticuff, Managing Member.

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NPI 1366122566
Entity type Organization (Type 2)
Legal business name Pds Group LLC
Practice address 2559 S ADDISYN LN, Bloomington, IN, 47403
Phone 3173497680
Fax 8339750724
Enumeration date 2023-07-21
Last updated in NPPES 2024-09-09

Authorized official

Name James Penticuff
Title Managing Member
Phone 3177142754

Taxonomy & classification

Taxonomy code Specialty Primary License State
163WA2000X Administrator Registered Nurse Secondary
163WC0400X Case Management Registered Nurse Secondary
163WD0400X Diabetes Educator Registered Nurse Secondary
171M00000X Case Manager/Care Coordinator Secondary
246QM0706X Medical Technologist Secondary
174H00000X Health Educator Primary
Copy-ready billing details
Provider: Pds Group LLC
NPI: 1366122566
Taxonomy: 174H00000X (Health Educator)
Address: 2559 S ADDISYN LN, Bloomington, IN, 47403

Providers at this address

NPI Name Type Specialty Location
1699514711 Odyssey Enterprises LLC Organization Nurse Practitioner Bloomington, IN
1023851136 Odyssey Wellness Inc Organization Nurse Practitioner Bloomington, IN

Verify this record

Cross-check NPI 1366122566 against the authoritative CMS record: view Pds Group LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Pds Group LLC located?
The practice location on file with NPPES is in Bloomington, IN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-09-09. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-09-09.