Active NPI
Goldstar Adult Day Care Center LLC.
- Adult Day Care Clinic/Center
- Minnetonka, MN
National Provider Identifier
1255695961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- GOLDSTAR ADULT DAY CARE CENTER LLC.
- Practice address
- 1712 Hopkins XRD
Minnetonka, MN 55305-2029 - Phone
- (612) 306-4957
- Fax
- (763) 546-7888
- NPI assigned
- Jun 27, 2012
- 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
- Mrs. Natasha Novik
- Title
- Ceo
- Phone
- (612) 306-4957
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
1712 Hopkins XRD
Minnetonka, MN 55305-2029
Mailing address
1712 Hopkins XRD
Minnetonka, MN 55305-2029
Phone (612) 306-4957
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340755200000",
"number": "1255695961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1712 HOPKINS XRD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553052029",
"telephone_number": "612-306-4957",
"fax_number": "763-546-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 HOPKINS XRD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553052029",
"telephone_number": "612-306-4957",
"fax_number": "763-546-7888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDSTAR ADULT DAY CARE CENTER LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-27",
"last_updated": "2012-06-27",
"status": "A",
"authorized_official_last_name": "NOVIK",
"authorized_official_first_name": "NATASHA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "612-306-4957",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
- Madeline Streitz Pokorney Goeden, M.D.
- Maria Kristine Goertz, M.D.
- Cheryl Denise Goff, CRNP
- Olivia R Goldfine, NP
- Goldstar Adult Day Care Center
- Lani Marie Gomez Pickard, MSW, LICSW
- John Chester Gonsiorek, PH.D.
- Mayda Caridad Gonzalez, APRN
- Roy Howard Good, CRNA
- Barbara Sue Goodman-Fischtrom, LICSW,LMFT,LADC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.