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THREE STARS GROUP HOMES LLC NPI 1992337893


NPI Information

NPI: 1992337893
Provider Name: THREE STARS GROUP HOMES LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 24D2179517

Address:
630 VIRGINIA ST
SAINT PAUL, MN
ZIP 55103
Phone: (651) 468-4729
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THREE STARS GROUP HOMES LLC is an assisted living facility in Saint Paul, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. THREE STARS GROUP HOMES LLC NPI is 1992337893. The provider is registered as an organization entity type.

The provider's business location address is:

630 VIRGINIA ST
SAINT PAUL, MN
ZIP 55103-757
Phone: (651) 468-4729

The provider's authorized official is Debesay Girmalul .
The authorized official title is Owner/manager and has the following contact phone number (651) 207-6588.

The CLIA number assigned to this NPI record is 24D2179517 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2020 and was last updated on 2/8/2020.


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
1251E00000XHome HealthNo
2251J00000XNursing CareNo
3310400000XAssisted Living FacilityYes
4343900000XNon-emergency Medical Transport (VAN)No
5253Z00000XIn Home Supportive CareNo

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.