SOUTH STAR CARE


Address: 3973 Willow Ridge Dr Sw, Rochester, MN 55902-2801
Phone: 5072716581

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 253J00000X Foster Care Agency Agencies

Other Provider/Organization Names

Other Name Type Code
Nur Abdullahi Mohamed Former Legal Business Name - Organization

Office Location

Street Address 3973 WILLOW RIDGE DR SW
City ROCHESTER
State MN
Zip Code 55902-2801

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 253J00000X
Grouping Agencies
Classification Foster Care Agency

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City ROCHESTER
Zip Code 55902

Improve Information

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Dataset Information

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.

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