Stellar Stream LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

STELLAR STREAM LLC

Practice address

1725 Elm St SE Apt 108
Minneapolis, MN 55414-2460

Phone

(651) 615-4133

NPI assigned

Jan 25, 2024

Organization subpart

No

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

Authorized official

Name

Imran Nazar

Title

Ceo

Phone

(651) 615-4133

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1528820610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 ELM ST SE APT 108",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554142460",
            "telephone_number": "651-615-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 ELM ST SE APT 108",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554142460",
            "telephone_number": "651-615-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR STREAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "NAZAR",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-615-4133"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Steinmetz, REGISTERED NURSE
• Mya Steinwehr, RN
• Andrew J Stella, D.C.
• Marrissa Lee Stella
• Stellar Living Providers LLC
• Nancy Stellick, LPCC
• Jamie Nicole Stellon, CRNA
• Diane Louise Stellrecht, PHD, LP
• Rebecca Jo Stellrecht, RN
• Anna C Stelter, PA-C

• Durable Medical Equipment & Medical Supplies in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.