Active NPI
S&R Homecare and Staffing LLC
- Home Health Agency
- Burnsville, MN
National Provider Identifier
1174964514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 29578
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
National Provider Directory
National Provider DirectoryLocations
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.