Organization Active NPI

Goldstar Adult Day Care Center

  • Adult Day Care Clinic/Center
  • Minnetonka, MN
National Provider Identifier
1497019129
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
GOLDSTAR ADULT DAY CARE CENTER
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

Updated by the provider on Jun 27, 2012

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

Authorized official

Name
Natasha Novik
Title
Meneger
Phone
(612) 306-4957

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary
Private Vehicle 347C00000X

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 Directory

Locations

1712 Hopkins Xrd
Minnetonka, MN 55305
Phone (612) 306-4957

NPI 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": "1497019129",
    "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",
        "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": "MENEGER",
        "authorized_official_telephone_number": "612-306-4957"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

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.

Verify at the official NPI Registry.