Organization Active NPI

Stellar Living Providers LLC

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1598445371
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STELLAR LIVING PROVIDERS LLC
Practice address
3055 Old Highway 8
Minneapolis, MN 55418-2500
Phone
(952) 769-3159
NPI assigned
Jul 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Abdullahi M Yusuf, CEO
Title
Chief Executive Officer
Phone
(952) 769-3159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3055 Old Highway 8
Minneapolis, MN 55418-2500

Mailing address

3055 Old Highway 8
Minneapolis, MN 55418-2500
Phone (952) 769-3159

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1598445371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 OLD HIGHWAY 8",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554182500",
            "telephone_number": "952-769-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 OLD HIGHWAY 8",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554182500",
            "telephone_number": "952-769-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR LIVING PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "YUSUF",
        "authorized_official_first_name": "ABDULLAHI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "952-769-3159",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.