Star Health Services

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

STAR HEALTH SERVICES

Practice address

3249 Hennepin Ave Ste 60
Minneapolis, MN 55408-3470

Phone

(952) 400-7878

NPI assigned

Mar 9, 2020

Organization subpart

No

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

Authorized official

Name

Suleko Mohamed

Title

President

Phone

(612) 703-3237

Specialties & licenses 1

Addresses

Tax ID family

Star Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Star Health Services LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Minneapolis, MN
  • NPI 1033744008
  NPD tax ID

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1538794672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3249 HENNEPIN AVE STE 60",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 HENNEPIN AVE STE 60",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083470",
            "telephone_number": "952-400-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "SULEKO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-703-3237"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Diesburg Stanwood, DNP, FNP-BC
• Danielle Haala Staples, PA-C
• Jessica Staples, LICSW
• Sara Stapleton
• Kirsten Ann Stapp, CRNA
• Star Health Services LLC
• Star Home Health Care, Inc
• Star Home Healthcare LLC
• Angela Star
• Constantin N Starchook, MD

• Developmental Disabilities Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Developmental Disabilities Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.