Beacon Stars, Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

BEACON STARS, INC

Practice address

6385 Old Shady Oak Rd Ste 250
Eden Prairie, MN 55344-7705

Phone

(612) 483-9370

NPI assigned

Aug 31, 2024

Last updated

Sep 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Said MuhumedNPI 1417849837

Title

Managing Director

Phone

(612) 483-9370

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Said Abdinasir Muhumed

  • Behavior Technician
  • Eden Prairie, MN
  • NPI 1417849837
  Authorized official Same address or phone

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

{
    "created_epoch": "1725062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1215761101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6385 OLD SHADY OAK RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6385 OLD SHADY OAK RD STE 250",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447705",
            "telephone_number": "612-483-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON STARS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-31",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "MUHUMED",
        "authorized_official_first_name": "SAID",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "612-483-9370"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Sue-Conlon Baughan, OTRL
• Kaye L. Baum, FNP
• Savanna Bauman
• Mary J Bayrd, M.A. ED. SPEC
• Asli Baz, PSYD
• Rebecca Beasley, MD
• Steven Robert Beck, DC
• Axel William Becker
• Beckys Place Inc
• Becoming Together

• Early Intervention Provider Agency in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.