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ALL STAR ACADEMY (ASA) NPI 1760810428


NPI Information

NPI: 1760810428
Provider Name: ALL STAR ACADEMY (ASA)

Doing Business As: RICH CENTER

Classification: Private Vehicle - 347C00000X
Entity Type: Organization
Address:
11712 CARTIER AVE S
BURNSVILLE, MN
ZIP 55337
Phone: (952) 707-9684
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ALL STAR ACADEMY (ASA) is a private vehicle in Burnsville, MN. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. ALL STAR ACADEMY (ASA) NPI is 1760810428. The provider is registered as an organization entity type.
The provider Is Doing Business As Rich Center.

The provider's business location address is:

11712 CARTIER AVE S
BURNSVILLE, MN
ZIP 55337-227
Phone: (952) 707-9684
Fax: (952) 707-9684

The provider's authorized official is Kate Uchechi Onyeneho .
The authorized official title is President/ceo and has the following contact phone number (952) 356-2953.

The enumeration date for this NPI number is 10/16/2013 and was last updated on 10/16/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase Management365664MINNESOTANo
2251B00000XCase Management35664MINNESOTANo
3251E00000XHome Health35664MINNESOTANo
4251S00000XCommunity/Behavioral Health365664MINNESOTANo
5252Y00000XEarly Intervention Provider Agency365664MINNESOTANo
6252Y00000XEarly Intervention Provider Agency35664MINNESOTANo
7347C00000XPrivate VehicleS389194616120MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1625MEDICARE UPINMINNESOTA
2625MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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