Organization Active NPI

Noble Star LLC

  • Clinic/Center
  • Eden Prairie, MN
National Provider Identifier
1033091293
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NOBLE STAR LLC
Practice address
15817 Porchlight LN
Eden Prairie, MN 55347-3576
Phone
(612) 707-0736
NPI assigned
Jul 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Abdirahman Mohamud Ahmed
Title
Owner
Phone
(612) 707-0736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

15817 Porchlight LN
Eden Prairie, MN 55347-3576

Mailing address

15817 Porchlight LN
Eden Prairie, MN 55347-3576

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1033091293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15817 PORCHLIGHT LN",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553473576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15817 PORCHLIGHT LN",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553473576",
            "telephone_number": "612-707-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE STAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ABDIRAHMAN",
        "authorized_official_middle_name": "MOHAMUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-707-0736"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.