STAR HEALTH SERVICES (NPI# 1538794672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538794672 |
| Entity Type | Organization |
| Organization Name | STAR HEALTH SERVICES |
| Practice Address |
2833 13th Ave S Ste 127 Minneapolis MN 55407-1417 |
| Mailing Address |
3055 Old Highway 8 Saint Anthony MN 55418-2500 |
| Practice Telephone | 6127033237 |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-08-19 |
| Authorized Official Name | SULEKP MOHAMED (PRESIDENT) |
| Authorized Official Telephone | 6127033237 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033744008 | Star Health Services | Clinic/Center | 3055 Old High 8, Saint Anthony, MN 55418 | 2020-03-10 |
| 1649559717 | Star Health Services | Home Health | 9950 Westpark Dr, Suite 307, Houston, TX 77063-5138 | 2011-08-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Star Health Services, LLC | P.o. Box 8867, Pueblo, CO 81004 |
| Street Address |
2833 13TH AVE S STE 127 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-1417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112975 | Hero Autism Center LLC | Clinic/Center | 3040 4th Ave S Ste 106, Minneapolis, MN 55408-2409 | 2020-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255825345 | Senzilla Health Services, LLC | Clinic/Center | 3035 Old Highway 8, Suite 101f, St. Anthony, MN 55418 | 2018-06-21 |
| 1083105209 | Madina Wellness Center, Inc. | Clinic/Center | 1230 Eagan Industrial Rd Ste 103, Eagan, MN 55121-1243 | 2018-05-23 |
| 1447507942 | Little Bird Psc | Clinic/Center | 48858 Us 71, Laporte, MN 56461-4879 | 2012-08-14 |
| 1033347331 | Rosenberg Center Assessment and Treatment for Children & Families Pa | Clinic/Center | 1935 Country Road B2 West, Suite 100, Roseville, MN 55113 | 2009-06-24 |
| 1235397381 | Brenda Jean Hansen | Clinic/Center | 425 6th Avenue West, Floodwood, MN 55736 | 2008-05-27 |
| 1164046926 | Diversity Health Service LLC | Clinic/Center | 7900 International Dr Ste 300, Bloomington, MN 55425-2562 | 2020-06-07 |
| 1164072906 | Mary Pumper | Clinic/Center | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2019-09-13 |
| 1013572056 | Scitech Academy | Clinic/Center | 100 W 66th St, Richfield, MN 55423-2371 | 2019-05-06 |
| 1881035624 | Sandra Streitman Pllc | Clinic/Center | 9031 W 34th St, St Louis Park, MN 55426-3703 | 2013-07-09 |
| 1902030471 | Evolution Therapy | Clinic/Center | 2508 Edinbrook Ter, Brooklyn Park, MN 55443-3739 | 2009-05-12 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
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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.