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North Star Club, Llc
Adult Care Home Facility in Bloomington, Minnesota
NPI 1609276724

North Star Club, Llc is an Adult Care Home Facility based in Bloomington, MN and is specialized in Adult Care Home. North Star Club, Llc practices in Bloomington, MN. The NPI Number for North Star Club, Llc is 1609276724 and holds a License No. 1066119 (Minnesota).

The current practice location address for North Star Club, Llc is 8040 Old Cedar Ave S, Bloomington, MN and can be reached out via phone at 952-542-6219.

Location: 8040 Old Cedar Ave S, Bloomington, MN, 55425-1234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609276724
Provider Name
North Star Club, Llc
Credential
Provider Entity Type
Organization
Address
8040 Old Cedar Ave S, Bloomington, MN, 55425-1234
Phone Number
952-542-6219
Fax Number
Provider Enumeration Date
08/26/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1066119 01 MN LICENSE
institution
Provider Business Practice Location Address Details
Address
8040 Old Cedar Ave S
City
Bloomington
State
Minnesota
Zip
55425-1234
Phone Number
952-542-6219
Fax Number
person
Provider Business Mailing Address Details
Address
8040 Old Cedar Ave S
City
Bloomington
State
Minnesota
Zip
55425-1234
Phone Number
952-542-6219
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
1066119 (Minnesota)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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