SOUTH STAR CARE (NPI# 1659979979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659979979 |
Entity Type | Organization |
Organization Name | SOUTH STAR CARE |
Practice Address |
3973 Willow Ridge Dr Sw Rochester MN 55902-2801 |
Mailing Address |
2203 18th Ave Se Rochester MN 55904-5825 |
Practice Telephone | 5072716581 |
Mailing Telephone | 5072716581 |
Enumeration Date | 2020-10-09 |
Last Update Date | 2020-10-09 |
Authorized Official Name | NUR ABDULLAHI MOHAMED (OWNER) |
Authorized Official Telephone | 5072716581 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 253J00000X | Foster Care Agency | Agencies |
Other Name | Type Code |
---|---|
Nur Abdullahi Mohamed | Former Legal Business Name - Organization |
Street Address |
3973 WILLOW RIDGE DR SW |
City | ROCHESTER |
State | MN |
Zip Code | 55902-2801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
1720584337 | John E Herman Home and Treatment Facility, LLC | Psychiatric Residential Treatment Facility | 351 14th Ave Sw, Rochester, MN 55902 | 2018-04-03 |
1912442898 | Esperanza Torres | Dental Hygienist | 903 West Center Street, Suite 130, United Way Bldg, Rochester, MN 55902 | 2016-12-30 |
1578971149 | Alduz Inri Surio Cabasa | Student in an Organized Health Care Education/Training Program | 609 1st Street Sw, Unit 102, Rochester, MN 55902 | 2014-07-28 |
1679901854 | Julie Erickson | Dental Hygienist | United Way Building Suite #208, Rochester, MN 55902 | 2013-10-24 |
1619313590 | Mercedes K Schulz | Dental Hygienist | 13394th Ave Sw, Rochester, MN 55902 | 2013-05-17 |
1093087389 | Sarah Jean Dennison | Clinic/Center | 930 West Center Street, Suite 208 United Way Bldg, Rochester, MN 55902 | 2012-02-01 |
1467732156 | Angela Elizabeth Peters | Registered Nurse | 1450 2nd Avenue Sw, Rochester, MN 55902 | 2011-08-25 |
1528350071 | Emily Zahasky Kraft | Pharmacist | 204 1st Street Sw, Rochester, MN 55902 | 2011-05-03 |
1093021982 | Sherry Dawn Boutcher | Dental Hygienist | 903 West Center Street Suite 208, United Way Building, Rochester, MN 55902 | 2010-08-30 |
Find all providers in zip 55902 |
Taxonomy Code | 253J00000X |
Grouping | Agencies |
Classification | Foster Care Agency |
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285260497 | Yasmin Ahmed Sulayman | Foster Care Agency | 3433 Kenosha Dr Nw, Rochester, MN 55901-5707 | 2020-03-19 |
1477018059 | Abimbola Omolola Akinnola | Foster Care Agency | 5206 Palmer Ln Nw, Rochester, MN 55901-3871 | 2019-02-07 |
1982189536 | Troy James Miller | Foster Care Agency | 3801 Oak Park Cir Se, Rochester, MN 55904-6188 | 2018-09-29 |
1295210094 | Chenda Chea | Foster Care Agency | 3606 48th Stnw, Rochester, MN 55901-5879 | 2018-09-27 |
1699224113 | Richard W Chapman | Foster Care Agency | 401 20th St Sw, Rochester, MN 55902-2298 | 2016-09-26 |
1659545820 | Cathy L Ingham | Foster Care Agency | 2540 9th Ave Nw, Rochester, MN 55901-2309 | 2008-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174138218 | Angelique Elizabeth Finifrock | Foster Care Agency | 10701 Becks Rd, Duluth, MN 55808 | 2020-09-15 |
1881211951 | Nordell Family Services LLC | Foster Care Agency | 4626 20th St Sw, Waverly, MN 55390-5004 | 2020-07-06 |
1023657285 | Julia Marie Bolte | Foster Care Agency | 3629 152nd Ln Nw, Andover, MN 55304-3008 | 2020-01-04 |
1730722745 | Grace Jepchirchir Fidalgo | Foster Care Agency | 6222 Hedgecroft Ave S, Cottage Grove, MN 55016-6002 | 2019-10-22 |
1467094102 | Lake Country Living Services LLC | Foster Care Agency | 181 Little Rock Rd Nw, Rice, MN 56367-8685 | 2019-10-15 |
1518508712 | Amanda Hesse | Foster Care Agency | 775 Lee Cir Se, Cokato, MN 55321-4697 | 2019-09-30 |
1275181661 | Alliance Homes Corporation | Foster Care Agency | 4946 Jackson St Ne, Columbia Heights, MN 55421-1709 | 2019-08-28 |
1760048078 | Kevin Carlyle Lunde X | Foster Care Agency | 1321 Merrywood Ct, Faribault, MN 55021-6529 | 2019-05-13 |
1043777667 | Kelly Ann Postudensek | Foster Care Agency | 3133 Chambersburg Ave, Duluth, MN 55811-3065 | 2019-03-01 |
1578039897 | Bonnie Myers | Foster Care Agency | 18120 Joan Ave, Hastings, MN 55033-8608 | 2018-10-15 |
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.