Organization Active NPI

S&R Homecare and Staffing LLC

  • Home Health Agency
  • Burnsville, MN
National Provider Identifier
1174964514
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
29578 Issued in MN
Legal business name
S&R HOMECARE AND STAFFING LLC
Doing business as
BrightStar of Northern Dakota Co.
Practice address
2414 E 117TH St
Burnsville, MN 55337-1269
Phone
(612) 435-7390
NPI assigned
Jul 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Authorized official

Name
Shannon Klemann
Title
Owner
Phone
(612) 435-7390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 29578 MN Primary

Addresses

Primary practice location

2414 E 117TH St
Burnsville, MN 55337-1269

Mailing address

2414 E 117TH St
Burnsville, MN 55337-1269
Phone (612) 435-7390

Other names 1

  • BrightStar of Northern Dakota Co. Doing business as

National Provider Directory

National Provider Directory

Locations

2414 E 117th St
Burnsville, MN 55337
Phone (612) 435-7380

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1174964514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 E 117TH ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371269",
            "telephone_number": "612-435-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 E 117TH ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371269",
            "telephone_number": "612-435-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&R HOMECARE AND STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "KLEMANN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-435-7390"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "29578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar of Northern Dakota Co.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.