THE LIFESTAR GROUP, INC. (NPI# 1841487782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841487782 |
| Entity Type | Organization |
| Organization Name | THE LIFESTAR GROUP, INC. |
| Other Organization Name | LIFESTAR MOBILITY |
| Practice Address |
2434 Commerce Blvd Mound MN 55364-1456 |
| Mailing Address |
3135 Highland Blvd Mound MN 55364-8540 |
| Practice Telephone | 9524951120 |
| Mailing Telephone | 9524951120 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |
| Authorized Official Name | RONALD BAUER (PRINCIPAL) |
| Authorized Official Telephone | 9524951120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 5774308 | MN | Transportation Services |
| Other Name | Type Code |
|---|---|
| LifeStar Mobility | Doing Business As Name - Organization |
| Street Address |
2434 COMMERCE BLVD |
| City | MOUND |
| State | MN |
| Zip Code | 55364-1456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932409406 | Western Communities Action Network | Voluntary or Charitable | 2434 Commerce Blvd, Suite H, Mound, MN 55364-1456 | 2010-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992594 | Mary Kaye Guenther | Physical Therapy Assistant | 6670 Game Farm Rd, Mound, MN 55364 | 2018-05-18 |
| 1558893008 | Kirsten Eaton | Student in an Organized Health Care Education/Training Program | 945 Forest Arms Lanes, Mound, MN 55364 | 2017-04-03 |
| 1619322450 | Heidi Durant | Counselor | 2973 Hazelwood Lane, Mound, MN 55364 | 2016-04-29 |
| 1255720603 | Amanda S Myers | Speech-Language Pathologist | 940 Bayside Ln, Minnetrista, MN 55364 | 2015-01-22 |
| 1538447644 | Mary Bernadette Philp | Dentist | 5205 Shoreline Drive, Mound, MN 55364 | 2011-07-25 |
| 1659600088 | Thomas David Mazer | Anesthesiology | 560 North Arm Drive, Orono, MN 55364 | 2009-12-14 |
| 1205913282 | Robert A Lauer | Dentist | 5585 Shoreline Blvd, Mound, MN 55364 | 2006-11-01 |
| 1750470068 | Stephanie Lynn Miner | Dentist | West Lakes Dentistry, 5205 Shoreline Drive, Mound, MN 55364 | 2006-10-12 |
| 1194120519 | Stable Living LLC | Counselor | 6344 Rambler Ln, Mound, MN 55364-1043 | 2014-10-28 |
| 1386800977 | Debra Karen Kullberg | Marriage & Family Therapist | 1567 Bluebird Ln, Mound, MN 55364-1109 | 2008-08-02 |
| Find all providers in zip 55364 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193607 | Massaie Services Inc | Non-emergency Medical Transport (VAN) | 15 1st St Se Ste 220, Rochester, MN 55904-3800 | 2020-10-30 |
| 1487252383 | Amy Larayne Oothoudt | Non-emergency Medical Transport (VAN) | 13392 Thomas Dr, Little Falls, MN 56345-6110 | 2020-10-13 |
| 1548868680 | Mohamed A Mohamed | Non-emergency Medical Transport (VAN) | 2910 E Franklin Ave Apt 1011, Minneapolis, MN 55406-1140 | 2020-10-12 |
| 1710598487 | Advance Mobility | Non-emergency Medical Transport (VAN) | 7600 W 27th St Ste 213, St Louis Park, MN 55426-3163 | 2020-08-14 |
| 1154932507 | Mohamud B Habib | Non-emergency Medical Transport (VAN) | 9400 Earl St, Golden Valley, MN 55427-3741 | 2020-08-10 |
| 1073121315 | Twin Cities Pain Clinic Transportation, Inc. | Non-emergency Medical Transport (VAN) | 7225 Ohms Ln Ste 150, Edina, MN 55439-2172 | 2020-07-22 |
| 1922625490 | Ahmed B Jama | Non-emergency Medical Transport (VAN) | 1883 Deer Hills Trl, Eagan, MN 55122-2284 | 2020-07-01 |
| 1700403748 | Apple Express, LLC | Non-emergency Medical Transport (VAN) | 825 N Minnesota Ave, Saint Peter, MN 56082-2424 | 2020-06-25 |
| 1760002018 | Grace Home Healthcare Inc. | Non-emergency Medical Transport (VAN) | 216 E Main St Ste 5, Albert Lea, MN 56007-2982 | 2020-04-16 |
| 1992324230 | D Light Transportation LLC | Non-emergency Medical Transport (VAN) | 8001 61st Ave N, New Hope, MN 55428-2717 | 2020-04-15 |
| 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.