FIVE STARS RECOVERY CENTER (NPI# 1194241166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194241166 |
| Entity Type | Organization |
| Organization Name | FIVE STARS RECOVERY CENTER |
| Other Organization Name | FIVE STARS CLINICAL LABORATORY |
| Practice Address |
1045 Stoughton Ave. Chaska MN 55318 |
| Practice Telephone | 9524486557 |
| Practice Fax Number | 9524486047 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-21 |
| Authorized Official Name | JASON VANDERSCOFF (CEO, MANAGING DIRECTOR) |
| Authorized Official Telephone | 9524486557 |
| Authorized Official Credential | LADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 24D2130068 | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 473724996 | 05 |
| Other Name | Type Code |
|---|---|
| Five Stars Clinical Laboratory | Doing Business As Name - Organization |
| Street Address |
1045 STOUGHTON AVE. |
| City | CHASKA |
| State | MN |
| Zip Code | 55318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548742968 | Elizabeth Ann Root | Counselor | 111 Hundertmark Rd Suite 450, Chaska, MN 55318 | 2018-09-01 |
| 1972002244 | Ruth Ann Plante | Counselor | 510 Chestnut Street Suite 201, Chaska, MN 55318 | 2018-02-01 |
| 1265959795 | Bhatti Gi Surgery Center LLC | Clinic/Center | 1447 White Oak Dr, Chaska, MN 55318 | 2017-08-25 |
| 1306383419 | Laurie Ann Sisser | Registered Nurse | 123 W. 3rd Street, Suite #1, Forever Life Home Health Care, Chaska, MN 55318 | 2017-01-26 |
| 1942756671 | David Erlandson | Physical Therapist | 110105 Pioneer Trail, #201, Chaska, MN 55318 | 2016-09-01 |
| 1912319286 | Chaska Commons Dental Group PC | Dentist | 114 Pioneer Trail, Chaska, MN 55318 | 2014-05-21 |
| 1063546620 | Laura Lee Bergjord | Social Worker | 600 East 4th St, Chaska, MN 55318 | 2007-03-15 |
| 1184758740 | Jennifer Ann Mueller | Social Worker | 401 East Fourth Street, Chaska, MN 55318 | 2007-03-15 |
| 1487785234 | The Salvation Army Harbor Light Center Beacon Program | Substance Abuse Rehabilitation Facility | 11065 Village Road, Chaska, MN 55318 | 2007-03-07 |
| 1871656975 | John Monrath Posselt | Dentist | 1580 White Oak Dr, #275, Chaska, MN 55318 | 2006-12-19 |
| Find all providers in zip 55318 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610148 | Algos Laboratories, LLC | Clinical Medical Laboratory | 111 Hundertmark Rd Ste 470, Chaska, MN 55318-1461 | 2020-05-08 |
| 1508349234 | Northstar Regional | Clinical Medical Laboratory | 1045 Stoughton Ave, Chaska, MN 55318-2149 | 2018-09-10 |
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|---|---|---|---|---|
| 1831799691 | Jke Enterprises LLC | Clinical Medical Laboratory | 14690 Galaxie Ave Ste 110, Apple Valley, MN 55124-8522 | 2020-10-29 |
| 1720685332 | Kahlert Companies, Inc. | Clinical Medical Laboratory | 7685 Parklawn Ave Ste 200, Edina, MN 55435-5152 | 2020-10-06 |
| 1932722535 | Infectolab Americas | Clinical Medical Laboratory | 3510 Hopkins Pl N, Oakdale, MN 55128-7578 | 2020-05-19 |
| 1043848112 | Kingdom Pathways | Clinical Medical Laboratory | 426 Oxford St N, Saint Paul, MN 55104-5080 | 2020-04-01 |
| 1255995890 | Bunka Enterprise L.L.C. | Clinical Medical Laboratory | 701 Decatur Ave N Ste 101, Golden Valley, MN 55427-4363 | 2019-04-29 |
| 1578030839 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 380 W County Road D, Saint Paul, MN 55112-3501 | 2018-10-25 |
| 1851805915 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 11091 Ulysses St Ne Ste 100, Blaine, MN 55434-4238 | 2017-11-28 |
| 1588178602 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 8515 Eagle Point Blvd Ste 100, Lake Elmo, MN 55042-8624 | 2017-11-28 |
| 1548794175 | Restoration Lab Services LLC | Clinical Medical Laboratory | 3805 Washington Ave N, Minneapolis, MN 55412-2141 | 2017-04-20 |
| 1881130573 | Biogray, LLC | Clinical Medical Laboratory | 2020 Morgan Ave, Saint Paul, MN 55116-2524 | 2017-01-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.