NORTH STAR SUPPORTIVE SERVICES NPI 1437904463

NPI Information

  • NPI: 1437904463
  • Provider Name: NORTH STAR SUPPORTIVE SERVICES
  • Classification: Home Health - 251E00000X
  • Entity Type: Organization
  • Doing Business As: NORTH STAR SUPPORTIVE SERVICES
  • Address: 103 OKABENA ST
    OKABENA, MN
    ZIP 56161
  • Phone: (763) 350-1065

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NPI Details

NORTH STAR SUPPORTIVE SERVICES is a home health in Okabena, MN. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. NORTH STAR SUPPORTIVE SERVICES NPI is 1437904463. The provider is registered as an organization entity type.
The provider Is Doing Business As North Star Supportive Services.

The provider's business location address is:

103 OKABENA ST
OKABENA, MN
ZIP 56161
Phone: (763) 350-1065

The provider's authorized official is Peter Ekadu .
The authorized official title is Managerial Official and has the following contact phone number (989) 289-6499.

The enumeration date for this NPI number is 4/22/2024 and was last updated on 5/3/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251B00000XCase ManagementNo
2251C00000XDay Training, Developmentally Disabled ServicesNo
3251E00000XHome HealthYes
4251J00000XNursing CareNo
5251S00000XCommunity/Behavioral HealthNo
6253Z00000XIn Home Supportive CareNo
7310400000XAssisted Living FacilityNo
8320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
9320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
10385H00000XRespite CareNo
11385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
12385HR2065XRespite CareRespite Care, Physical Disabilities, ChildNo

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: 3/30/2025

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