Organization Active NPI

Mindstar Healthcare LLC

  • Clinic/Center
  • Saint Michael, MN
National Provider Identifier
1194610857
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MINDSTAR HEALTHCARE LLC
Practice address
215 2ND St NW
Saint Michael, MN 55376-1034
Phone
(612) 407-3170
NPI assigned
Jun 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Alexzine Kimbi
Title
Ceo
Phone
(612) 407-3170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

215 2ND St NW
Saint Michael, MN 55376-1034

Mailing address

215 2ND St NW
Saint Michael, MN 55376-1034

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1194610857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 2ND ST NW",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553761034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 2ND ST NW",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553761034",
            "telephone_number": "612-407-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSTAR HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "KIMBI",
        "authorized_official_first_name": "ALEXZINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-407-3170"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Michael, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.