Organization Active NPI

Prisendorf Care, LLC

  • Home Health Agency
  • Plymouth, MN
National Provider Identifier
1346713682
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRISENDORF CARE, LLC
Practice address
12805 Highway 55 Ste 220
Plymouth, MN 55441-3814
Phone
(763) 432-5095
NPI assigned
Jan 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Justin Prisendorf
Title
President
Phone
(612) 756-9220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12805 Highway 55 Ste 220
Plymouth, MN 55441-3814

Mailing address

12805 Highway 55 Ste 220
Plymouth, MN 55441-3814
Phone (763) 432-5095

Other names 1

  • BrightStar Care of Plymouth Doing business as

National Provider Directory

National Provider Directory

Locations

12805 Highway 55
Ste 220
Plymouth, MN 55441
Phone (763) 432-5095

3131 Fernbrook Ln N
Ste 105
Plymouth, MN 55447

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1346713682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12805 HIGHWAY 55 STE 220",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413814",
            "telephone_number": "763-432-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12805 HIGHWAY 55 STE 220",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413814",
            "telephone_number": "763-432-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISENDORF CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "PRISENDORF",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-756-9220"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar Care of Plymouth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BrightStar Care of Plymouth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.