Tristar Home Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TRISTAR HOME CARE LLC

Practice address

3000 80TH Ave N
Brooklyn Park, MN 55444-1836

Phone

(763) 415-5471

Fax

(763) 292-9041

NPI assigned

Feb 2, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Raphael Ozurumba, RN

Title

Administrator

Phone

(651) 336-6815

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1649779828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9402 93RD ST S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164096",
            "telephone_number": "763-415-5471",
            "fax_number": "763-204-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 80TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554441836",
            "telephone_number": "763-415-5471",
            "fax_number": "763-292-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAR HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "OZURUMBA",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-336-6815",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "385032",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ha Ly Tran
• Kim Ngan Tran
• Phat H Tran, PHARM.D.
• Kadiatou Traore, DDS
• David Trebisovsky
• Triumph Care Group LLC
• Angelique Jeanne Trombley, RDN, LD
• Troy William Friesen
• True Care Homecare LLC
• True Foundation,LLC

• Assisted Living Facility in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.